| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.26 | $35.26 | $70.17 | |
Aetna
| Professional | $35.26 | $35.26 | $35.26 | |
Cigna
| Facility | $40.71 | $40.71 | $40.71 | |
Cigna
| Professional | $40.71 | $40.71 | $40.71 | |
Medica
| Facility | $30.10 | $37.02 | $161.90 | |
Medica
| Professional | $36.28 | $36.28 | $36.28 | |
United
| Professional | $39.90 | $39.90 | $39.90 |