| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.33 | $114.43 | $274.63 | |
Aetna
| Professional | $63.47 | $63.47 | $64.33 | |
Cigna
| Facility | $55.75 | $56.37 | $110.99 | |
Cigna
| Professional | $45.74 | $131.75 | $164.68 | |
Medica
| Facility | $42.89 | $73.76 | $291.80 | |
Medica
| Professional | $36.02 | $40.03 | $95.30 | |
United
| Professional | $36.02 | $40.03 | $57.22 |