| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.04 | $31.04 | $31.04 | |
Aetna
| Professional | $19.20 | $31.04 | $37.15 | |
Cigna
| Professional | $19.36 | $19.36 | $19.36 | |
Medica
| Facility | $31.04 | $34.14 | $65.68 | |
Medica
| Professional | $20.09 | $20.09 | $20.09 |