| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.36 | $67.87 | $84.84 | |
Cigna
| Facility | $78.94 | $78.94 | $126.38 | |
Cigna
| Professional | $67.09 | $78.94 | $186.09 | |
Medica
| Facility | $35.18 | $89.08 | $599.70 | |
Medica
| Professional | $41.66 | $61.57 | $90.73 | |
United
| Professional | $50.82 | $61.57 | $88.70 |