| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $42.66 | $42.66 | |
Aetna
| Professional | $38.02 | $52.48 | $63.10 | |
Cigna
| Facility | $346.74 | $346.74 | $346.74 | |
Cigna
| Professional | $131.83 | $131.83 | $131.83 | |
Medica
| Facility | $38.90 | $45.71 | $117.49 | |
Medica
| Professional | $48.98 | $63.10 | $338.84 | |
United
| Facility | $41.69 | $69.18 | $229.09 | |
United
| Professional | $45.71 | $60.26 | $91.20 |