| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.29 | $31.29 | $31.29 | |
Aetna
| Professional | $31.28 | $31.29 | $31.86 | |
Cigna
| Facility | $31.94 | $31.94 | $31.94 | |
Cigna
| Professional | $31.94 | $31.94 | $31.94 | |
Medica
| Facility | $26.66 | $31.29 | $44.74 | |
Medica
| Professional | $30.76 | $35.61 | $38.86 | |
United
| Professional | $30.76 | $35.61 | $38.86 |