| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.17 | $40.17 | $40.17 | |
Aetna
| Professional | $38.68 | $40.17 | $78.59 | |
Cigna
| Facility | $37.95 | $37.95 | $37.95 | |
Cigna
| Professional | $27.70 | $37.95 | $37.95 | |
Medica
| Facility | $40.17 | $42.18 | $431.88 | |
Medica
| Professional | $35.22 | $56.36 | $98.26 | |
United
| Professional | $35.22 | $52.84 | $98.26 |