| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.29 | $32.29 | $32.29 | |
Aetna
| Professional | $30.21 | $32.29 | $32.29 | |
Cigna
| Facility | $28.22 | $28.22 | $29.91 | |
Cigna
| Professional | $29.91 | $29.91 | $29.91 | |
Medica
| Facility | $33.15 | $34.81 | $52.34 | |
Medica
| Professional | $24.47 | $30.70 | $135.06 | |
United
| Professional | $26.92 | $29.91 | $32.97 |