| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.06 | $31.06 | $37.33 | |
Aetna
| Professional | $30.61 | $30.61 | $31.06 | |
Cigna
| Facility | $34.45 | $34.45 | $34.45 | |
Cigna
| Professional | $21.28 | $29.28 | $36.86 | |
Medica
| Facility | $14.28 | $32.61 | $245.00 | |
Medica
| Professional | $14.74 | $24.86 | $51.58 | |
United
| Professional | $14.74 | $22.12 | $31.73 |