| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.86 | $32.86 | $32.86 | |
Aetna
| Professional | $32.86 | $32.86 | $33.47 | |
Cigna
| Facility | $33.42 | $33.42 | $33.42 | |
Cigna
| Professional | $33.42 | $33.42 | $36.61 | |
Medica
| Facility | $0.14 | $34.51 | $757.05 | |
Medica
| Professional | $29.20 | $36.27 | $60.26 | |
United
| Professional | $29.20 | $35.81 | $36.89 |