| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.08 | $79.03 | $98.79 | |
Cigna
| Facility | $57.76 | $57.76 | $131.21 | |
Cigna
| Professional | $49.10 | $57.76 | $154.50 | |
Medica
| Facility | $42.97 | $103.73 | $652.16 | |
Medica
| Professional | $45.12 | $71.31 | $104.28 | |
United
| Professional | $45.12 | $71.31 | $96.78 |