| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.18 | $27.18 | $51.98 | |
Aetna
| Professional | $27.18 | $33.97 | $33.97 | |
Cigna
| Professional | $30.56 | $30.56 | $38.20 | |
Medica
| Facility | $27.18 | $30.02 | $46.21 | |
Medica
| Professional | $28.32 | $28.32 | $30.76 | |
United
| Professional | $24.07 | $28.32 | $30.76 |