| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.16 | $92.71 | $134.60 | |
Aetna
| Professional | $28.80 | $29.16 | $29.88 | |
Cigna
| Facility | $30.60 | $30.60 | $30.60 | |
Cigna
| Professional | $30.60 | $30.60 | $30.60 | |
Medica
| Facility | $29.16 | $33.53 | $135.00 | |
Medica
| Professional | $30.00 | $30.00 | $36.78 | |
United
| Professional | $30.00 | $30.00 | $31.80 |