| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $33.88 | $52.48 | |
Cigna
| Facility | $36.31 | $36.31 | $36.31 | |
Cigna
| Professional | $30.90 | $36.31 | $67.61 | |
Medica
| Facility | $37.15 | $46.77 | $257.04 | |
Medica
| Professional | $20.89 | $27.54 | $46.77 | |
United
| Facility | $2.51 | $19.05 | $42.66 | |
United
| Professional | $20.89 | $27.54 | $46.77 |