| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.61 | $251.45 | $314.83 | |
Aetna
| Professional | $28.61 | $30.90 | $36.83 | |
Cigna
| Professional | $29.95 | $38.88 | $59.47 | |
Medcost
| Facility | $26.21 | $35.89 | $58.53 | |
Medcost
| Professional | $31.46 | $31.46 | $37.44 | |
United
| Professional | $31.52 | $38.25 | $55.12 |