| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.88 | $24.88 | $36.67 | |
Aetna
| Professional | $23.96 | $24.88 | $26.21 | |
Cigna
| Facility | $29.64 | $29.64 | $29.64 | |
Cigna
| Professional | $21.64 | $21.64 | $53.25 | |
Medica
| Facility | $14.41 | $32.61 | $237.18 | |
Medica
| Professional | $14.88 | $25.08 | $52.04 | |
United
| Professional | $14.88 | $22.32 | $32.02 |