| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.94 | $40.94 | $229.00 | |
Aetna
| Professional | $26.76 | $40.94 | $48.31 | |
Cigna
| Facility | $45.48 | $45.48 | $45.48 | |
Cigna
| Professional | $64.15 | $76.25 | $190.20 | |
Medica
| Facility | $33.79 | $53.53 | $84.28 | |
Medica
| Professional | $38.97 | $68.80 | $280.19 | |
United
| Professional | $38.88 | $63.97 | $118.84 |