| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.61 | $62.14 | $149.13 | |
Aetna
| Professional | $45.98 | $45.98 | $46.61 | |
Cigna
| Facility | $40.39 | $40.39 | $166.00 | |
Cigna
| Professional | $71.45 | $71.45 | $89.31 | |
Medica
| Facility | $32.31 | $49.71 | $208.17 | |
Medica
| Professional | $26.10 | $26.10 | $62.14 | |
United
| Facility | $22.37 | $55.93 | $62.14 | |
United
| Professional | $26.10 | $26.10 | $37.28 |