| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.09 | $32.09 | $32.09 | |
Aetna
| Professional | $32.09 | $32.09 | $32.68 | |
Cigna
| Facility | $29.33 | $29.33 | $29.33 | |
Cigna
| Professional | $22.06 | $29.33 | $29.33 | |
Medica
| Facility | $20.99 | $29.63 | $45.89 | |
Medica
| Professional | $24.17 | $30.02 | $31.28 | |
United
| Professional | $24.17 | $30.02 | $31.28 |