| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.91 | $26.91 | $27.54 | |
Aetna
| Professional | $26.51 | $26.51 | $26.91 | |
Cigna
| Facility | $29.14 | $29.14 | $29.14 | |
Cigna
| Professional | $21.27 | $29.14 | $31.98 | |
Medica
| Facility | $11.45 | $27.84 | $211.82 | |
Medica
| Professional | $12.79 | $22.83 | $44.25 | |
United
| Professional | $12.79 | $19.19 | $30.38 |