| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.95 | $30.80 | $43.42 | |
Aetna
| Professional | $28.52 | $29.09 | $34.51 | |
Cigna
| Facility | $26.90 | $26.90 | $28.52 | |
Cigna
| Professional | $28.52 | $28.52 | $28.52 | |
Medica
| Facility | $28.52 | $32.34 | $44.04 | |
Medica
| Professional | $28.52 | $30.23 | $95.39 | |
United
| Professional | $28.52 | $28.52 | $33.94 |