| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.00 | $123.70 | $252.13 | |
Aetna
| Professional | $42.89 | $43.00 | $43.79 | |
Cigna
| Facility | $37.56 | $37.56 | $54.60 | |
Cigna
| Professional | $42.06 | $54.60 | $54.60 | |
Medica
| Facility | $36.65 | $50.17 | $170.54 | |
Medica
| Professional | $46.60 | $55.76 | $58.86 | |
United
| Professional | $46.60 | $57.62 | $58.86 |