| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.46 | $30.46 | $128.31 | |
Aetna
| Professional | $30.08 | $30.46 | $31.21 | |
Cigna
| Facility | $31.96 | $31.96 | $31.96 | |
Cigna
| Professional | $31.96 | $31.96 | $31.96 | |
Medica
| Facility | $30.46 | $34.72 | $55.26 | |
Medica
| Professional | $36.44 | $37.60 | $41.66 | |
United
| Professional | $37.60 | $37.60 | $39.86 |