| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.81 | $21.81 | $21.81 | |
Aetna
| Professional | $21.81 | $24.93 | $25.16 | |
Cigna
| Facility | $40.14 | $40.14 | $40.14 | |
Cigna
| Professional | $34.11 | $40.14 | $40.14 | |
Medica
| Facility | $14.55 | $30.53 | $235.45 | |
Medica
| Professional | $15.02 | $29.78 | $51.46 | |
United
| Professional | $15.02 | $23.63 | $33.95 |