| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.02 | $61.29 | $69.45 | |
Aetna
| Professional | $33.02 | $33.02 | $33.61 | |
Cigna
| Facility | $33.71 | $33.71 | $33.71 | |
Cigna
| Professional | $33.71 | $33.71 | $33.71 | |
Medica
| Facility | $28.13 | $33.26 | $47.22 | |
Medica
| Professional | $32.46 | $37.59 | $41.00 | |
United
| Professional | $32.46 | $37.59 | $41.00 |