| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.50 | $41.50 | $229.00 | |
Aetna
| Professional | $29.28 | $40.44 | $50.69 | |
Cigna
| Facility | $48.09 | $48.09 | $48.09 | |
Cigna
| Professional | $67.83 | $80.63 | $201.14 | |
Medica
| Facility | $31.29 | $57.86 | $90.49 | |
Medica
| Professional | $44.03 | $78.95 | $223.17 | |
United
| Professional | $41.83 | $67.98 | $134.24 |