| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.29 | $69.18 | $204.17 | |
Aetna
| Professional | $43.65 | $52.48 | $85.11 | |
Cigna
| Facility | $38.90 | $44.67 | $181.97 | |
Cigna
| Professional | $30.90 | $46.77 | $100.00 | |
Medica
| Facility | $51.29 | $79.43 | $114.82 | |
Medica
| Professional | $25.12 | $28.84 | $102.33 | |
United
| Facility | $28.84 | $69.18 | $83.18 | |
United
| Professional | $25.12 | $28.84 | $45.71 |