| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.84 | $28.84 | $316.23 | |
Aetna
| Professional | $26.92 | $30.20 | $38.02 | |
Cigna
| Professional | $33.11 | $39.81 | $57.54 | |
Medcost
| Facility | $26.92 | $33.11 | $45.71 | |
Medcost
| Professional | $31.62 | $31.62 | $31.62 | |
United
| Professional | $30.90 | $36.31 | $57.54 |