| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.12 | $30.15 | $54.00 | |
Cigna
| Facility | $31.91 | $31.91 | $48.65 | |
Cigna
| Professional | $27.12 | $31.91 | $60.00 | |
Medica
| Facility | $31.66 | $39.74 | $228.57 | |
Medica
| Professional | $15.19 | $26.62 | $40.95 | |
United
| Professional | $18.43 | $26.62 | $40.95 |