| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.17 | $45.17 | $110.02 | |
Aetna
| Professional | $45.17 | $59.87 | $69.97 | |
Cigna
| Facility | $71.95 | $71.95 | $71.95 | |
Cigna
| Professional | $149.53 | $149.53 | $300.91 | |
Medica
| Facility | $45.17 | $91.68 | $113.35 | |
Medica
| Professional | $69.29 | $114.77 | $334.80 | |
United
| Professional | $69.29 | $103.90 | $154.49 |