| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.26 | $29.04 | $34.07 | |
Cigna
| Facility | $36.06 | $36.06 | $54.97 | |
Cigna
| Professional | $30.65 | $36.06 | $67.50 | |
Medica
| Facility | $35.77 | $44.94 | $258.29 | |
Medica
| Professional | $17.17 | $30.08 | $46.27 | |
United
| Facility | $2.96 | $23.61 | $40.77 | |
United
| Professional | $21.46 | $30.08 | $46.27 |