| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.74 | $54.95 | $165.96 | |
Aetna
| Professional | $37.15 | $52.48 | $134.90 | |
Cigna
| Facility | $36.31 | $36.31 | $72.44 | |
Cigna
| Professional | $24.55 | $64.57 | $79.43 | |
Medica
| Facility | $43.65 | $57.54 | $263.03 | |
Medica
| Professional | $23.44 | $23.44 | $54.95 | |
United
| Facility | $19.95 | $54.95 | $66.07 | |
United
| Professional | $23.44 | $23.44 | $33.11 |