| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.94 | $36.94 | $52.08 | |
Aetna
| Professional | $36.94 | $37.85 | $40.28 | |
Cigna
| Facility | $38.76 | $38.76 | $38.76 | |
Cigna
| Professional | $38.76 | $38.76 | $38.76 | |
Medica
| Facility | $36.94 | $38.79 | $45.60 | |
Medica
| Professional | $34.20 | $40.28 | $57.00 | |
United
| Professional | $38.00 | $38.00 | $43.70 |