| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.86 | $24.86 | $24.86 | |
Aetna
| Professional | $24.85 | $24.85 | $24.86 | |
Cigna
| Professional | $28.31 | $28.31 | $35.39 | |
Medica
| Facility | $24.86 | $26.88 | $42.26 | |
Medica
| Professional | $29.25 | $30.57 | $30.57 | |
United
| Professional | $27.79 | $30.57 | $31.40 |