| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.20 | $86.81 | $203.40 | |
Aetna
| Professional | $34.20 | $34.20 | $34.83 | |
Cigna
| Facility | $32.76 | $32.76 | $32.76 | |
Cigna
| Professional | $23.93 | $32.76 | $32.76 | |
Medica
| Facility | $29.71 | $33.34 | $48.91 | |
Medica
| Professional | $27.15 | $33.72 | $34.95 | |
United
| Professional | $27.80 | $34.53 | $35.11 |