| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $61.66 | $186.21 | |
Aetna
| Professional | $40.74 | $57.54 | $83.18 | |
Cigna
| Facility | $39.81 | $39.81 | $165.96 | |
Cigna
| Professional | $27.54 | $74.13 | $89.13 | |
Medica
| Facility | $45.71 | $61.66 | $107.15 | |
Medica
| Professional | $25.70 | $25.70 | $93.33 | |
United
| Facility | $25.70 | $61.66 | $74.13 | |
United
| Professional | $25.70 | $25.70 | $40.74 |