| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.70 | $33.70 | $33.70 | |
Aetna
| Professional | $33.70 | $33.70 | $34.32 | |
Cigna
| Facility | $33.14 | $33.14 | $33.14 | |
Cigna
| Professional | $23.48 | $33.14 | $33.14 | |
Medica
| Facility | $29.65 | $35.06 | $127.88 | |
Medica
| Professional | $28.49 | $35.39 | $35.99 | |
United
| Professional | $28.49 | $34.52 | $35.99 |