| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.87 | $29.87 | $42.11 | |
Aetna
| Professional | $29.87 | $30.61 | $36.88 | |
Cigna
| Facility | $31.35 | $31.35 | $31.35 | |
Cigna
| Professional | $31.35 | $31.35 | $31.35 | |
Medica
| Facility | $28.81 | $29.87 | $38.95 | |
Medica
| Professional | $30.73 | $32.57 | $678.95 | |
United
| Professional | $30.73 | $30.73 | $36.57 |