| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.27 | $69.59 | $87.90 | |
Aetna
| Professional | $39.27 | $40.36 | $41.10 | |
Cigna
| Facility | $35.25 | $35.25 | $47.32 | |
Cigna
| Professional | $21.83 | $47.32 | $47.32 | |
Medica
| Facility | $24.26 | $39.27 | $147.79 | |
Medica
| Professional | $40.14 | $48.63 | $50.70 | |
United
| Professional | $40.14 | $49.16 | $50.70 |