| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.38 | $28.38 | $63.86 | |
Aetna
| Professional | $28.38 | $35.47 | $35.47 | |
Cigna
| Professional | $31.13 | $31.13 | $38.90 | |
Medica
| Facility | $28.38 | $35.47 | $48.25 | |
Medica
| Professional | $30.08 | $30.08 | $32.67 | |
United
| Professional | $25.57 | $30.08 | $33.09 |