| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $46.77 | $141.25 | |
Aetna
| Professional | $30.90 | $36.31 | $53.70 | |
Cigna
| Facility | $30.90 | $30.90 | $125.89 | |
Cigna
| Professional | $57.54 | $57.54 | $69.18 | |
Medica
| Facility | $34.67 | $46.77 | $81.28 | |
Medica
| Professional | $19.95 | $19.95 | $177.83 | |
United
| Facility | $19.95 | $46.77 | $56.23 | |
United
| Professional | $19.95 | $19.95 | $30.90 |