| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $32.36 | $32.36 | |
Aetna
| Professional | $30.20 | $32.36 | $54.95 | |
Cigna
| Professional | $29.51 | $29.51 | $37.15 | |
Medica
| Facility | $31.62 | $35.48 | $93.33 | |
Medica
| Professional | $30.90 | $33.88 | $36.31 | |
United
| Professional | $31.62 | $34.67 | $38.02 |