| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.53 | $58.52 | $126.50 | |
Aetna
| Professional | $39.01 | $39.01 | $39.53 | |
Cigna
| Facility | $34.26 | $34.26 | $140.81 | |
Cigna
| Professional | $60.71 | $60.71 | $75.89 | |
Medica
| Facility | $27.41 | $42.17 | $176.58 | |
Medica
| Professional | $22.14 | $22.14 | $52.71 | |
United
| Professional | $22.14 | $22.14 | $31.63 |