| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.80 | $53.80 | $53.80 | |
Aetna
| Professional | $46.25 | $64.43 | $71.51 | |
Cigna
| Facility | $48.27 | $48.27 | $126.46 | |
Cigna
| Professional | $57.79 | $65.98 | $103.42 | |
Medica
| Facility | $32.47 | $76.93 | $1,382.00 | |
Medica
| Professional | $73.90 | $106.24 | $224.68 | |
United
| Professional | $78.52 | $106.60 | $189.68 |