| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.66 | $55.54 | $133.30 | |
Aetna
| Professional | $41.10 | $41.10 | $41.66 | |
Cigna
| Facility | $36.10 | $38.79 | $71.88 | |
Cigna
| Professional | $24.79 | $64.02 | $80.02 | |
Medica
| Facility | $43.74 | $57.79 | $263.82 | |
Medica
| Professional | $23.33 | $23.33 | $55.54 | |
United
| Professional | $23.33 | $23.33 | $33.32 |