| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.14 | $61.52 | $147.65 | |
Aetna
| Professional | $45.52 | $45.52 | $65.83 | |
Cigna
| Facility | $39.99 | $39.99 | $164.36 | |
Cigna
| Professional | $27.38 | $74.86 | $89.69 | |
Medica
| Facility | $45.52 | $61.52 | $103.35 | |
Medica
| Professional | $25.84 | $25.84 | $92.28 | |
United
| Professional | $25.84 | $25.84 | $39.36 |