| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.25 | $24.25 | $35.74 | |
Aetna
| Professional | $23.35 | $24.25 | $26.36 | |
Cigna
| Facility | $30.91 | $30.91 | $30.91 | |
Cigna
| Professional | $22.56 | $30.91 | $30.91 | |
Medica
| Facility | $15.93 | $31.79 | $263.25 | |
Medica
| Professional | $16.45 | $24.67 | $50.73 | |
United
| Professional | $16.73 | $24.67 | $35.40 |