| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $64.57 | $190.55 | |
Aetna
| Professional | $28.18 | $47.86 | $64.57 | |
Cigna
| Facility | $41.69 | $41.69 | $83.18 | |
Cigna
| Professional | $17.38 | $33.88 | $91.20 | |
Medica
| Facility | $32.36 | $47.86 | $162.18 | |
Medica
| Professional | $16.98 | $26.92 | $64.57 | |
United
| Facility | $20.42 | $48.98 | $77.62 | |
United
| Professional | $16.98 | $26.92 | $38.90 |