| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.53 | $34.39 | $34.84 | |
Cigna
| Facility | $31.91 | $31.91 | $31.91 | |
Cigna
| Professional | $27.12 | $31.91 | $60.00 | |
Medica
| Facility | $32.86 | $43.87 | $228.57 | |
Medica
| Professional | $20.48 | $24.57 | $40.95 | |
United
| Professional | $22.52 | $24.57 | $40.95 |