| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.52 | $48.52 | $48.52 | |
Aetna
| Professional | $48.52 | $48.52 | $49.10 | |
Cigna
| Professional | $57.70 | $82.84 | $93.32 | |
Medica
| Facility | $48.52 | $400.00 | $2,490.86 | |
Medica
| Professional | $53.72 | $72.23 | $588.60 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 | |
United
| Professional | $51.39 | $70.66 | $101.81 |