| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.66 | $63.84 | $112.19 | |
Aetna
| Professional | $74.75 | $74.75 | $76.14 | |
Cigna
| Facility | $76.14 | $76.14 | $76.14 | |
Cigna
| Professional | $76.14 | $76.14 | $76.14 | |
Medica
| Facility | $69.22 | $77.36 | $305.36 | |
Medica
| Professional | $73.48 | $85.10 | $92.83 | |
United
| Facility | $71.38 | $71.38 | $74.95 | |
United
| Professional | $73.48 | $82.90 | $92.83 |