| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.25 | $87.69 | $189.60 | |
Aetna
| Professional | $58.46 | $58.46 | $59.25 | |
Cigna
| Facility | $51.35 | $51.35 | $69.31 | |
Cigna
| Professional | $87.45 | $87.45 | $104.78 | |
Medica
| Facility | $58.46 | $74.50 | $132.72 | |
Medica
| Professional | $33.18 | $33.18 | $118.50 | |
United
| Professional | $33.18 | $33.18 | $50.56 |