| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.70 | $25.70 | $25.70 | |
Aetna
| Professional | $23.99 | $28.84 | $42.66 | |
Cigna
| Facility | $35.48 | $37.15 | $1,122.02 | |
Cigna
| Professional | $15.49 | $23.44 | $39.81 | |
Medica
| Facility | $23.44 | $30.20 | $64.57 | |
Medica
| Professional | $23.99 | $32.36 | $194.98 | |
United
| Facility | $95.50 | $338.84 | $562.34 | |
United
| Professional | $22.91 | $30.20 | $43.65 |