| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.94 | $33.94 | $34.94 | |
Aetna
| Professional | $33.94 | $34.94 | $35.58 | |
Cigna
| Facility | $35.25 | $35.25 | $35.25 | |
Cigna
| Professional | $25.50 | $35.25 | $35.25 | |
Medica
| Facility | $30.55 | $35.64 | $133.13 | |
Medica
| Professional | $29.05 | $36.08 | $36.70 | |
United
| Professional | $29.90 | $37.13 | $37.76 |