| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.93 | $26.31 | $26.31 | |
Aetna
| Professional | $23.33 | $27.84 | $31.86 | |
Cigna
| Facility | $35.72 | $37.56 | $1,128.18 | |
Cigna
| Professional | $15.31 | $23.46 | $36.74 | |
Medica
| Facility | $23.49 | $29.99 | $62.59 | |
Medica
| Professional | $23.90 | $31.30 | $194.73 | |
United
| Professional | $23.28 | $30.42 | $48.48 |