| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.53 | $49.58 | $79.59 | |
Aetna
| Professional | $21.60 | $21.60 | $25.00 | |
Cigna
| Facility | $22.10 | $22.10 | $22.10 | |
Cigna
| Professional | $22.10 | $22.10 | $22.10 | |
Medica
| Facility | $19.03 | $22.35 | $30.89 | |
Medica
| Professional | $21.23 | $24.59 | $26.82 | |
United
| Professional | $21.23 | $23.53 | $26.82 |