| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.97 | $28.97 | $28.97 | |
Aetna
| Professional | $28.96 | $28.96 | $30.58 | |
Cigna
| Professional | $32.96 | $32.96 | $41.20 | |
Medica
| Facility | $28.97 | $28.97 | $86.91 | |
Medica
| Professional | $34.08 | $35.61 | $35.61 | |
United
| Professional | $32.38 | $35.61 | $36.59 |