| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.82 | $33.82 | $33.82 | |
Aetna
| Professional | $21.85 | $38.00 | $42.35 | |
Cigna
| Professional | $18.97 | $18.97 | $18.97 | |
Medica
| Facility | $31.85 | $39.14 | $56.32 | |
Medica
| Professional | $27.30 | $34.50 | $149.71 | |
United
| Professional | $26.00 | $33.02 | $50.70 |