| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.57 | $30.57 | $30.57 | |
Aetna
| Professional | $17.75 | $30.57 | $32.99 | |
Cigna
| Professional | $34.84 | $34.84 | $43.55 | |
Medica
| Facility | $30.57 | $32.28 | $51.97 | |
Medica
| Professional | $35.97 | $37.59 | $37.59 | |
United
| Professional | $34.17 | $37.59 | $38.61 |