| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.07 | $20.07 | $53.89 | |
Aetna
| Professional | $20.07 | $29.18 | $31.57 | |
Cigna
| Facility | $34.97 | $34.97 | $34.97 | |
Cigna
| Professional | $52.46 | $63.23 | $71.95 | |
Medica
| Facility | $20.07 | $44.91 | $58.89 | |
Medica
| Professional | $27.77 | $54.30 | $237.52 | |
United
| Professional | $24.23 | $51.44 | $70.45 |