| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $64.57 | $194.98 | |
Aetna
| Professional | $42.66 | $50.12 | $64.57 | |
Cigna
| Facility | $41.69 | $41.69 | $173.78 | |
Cigna
| Professional | $74.13 | $74.13 | $93.33 | |
Medica
| Facility | $33.11 | $52.48 | $213.80 | |
Medica
| Professional | $26.92 | $26.92 | $67.61 | |
United
| Facility | $23.44 | $64.57 | $77.62 | |
United
| Professional | $26.92 | $26.92 | $38.90 |