| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.00 | $35.00 | $275.00 | |
Aetna
| Professional | $35.00 | $45.00 | $300.00 | |
Cigna
| Professional | $184.00 | $252.00 | $360.00 | |
Medica
| Facility | $59.15 | $59.15 | $59.15 | |
Medica
| Professional | $44.99 | $79.17 | $122.73 | |
United
| Professional | $44.99 | $76.00 | $110.32 |