| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.85 | $40.27 | $50.34 | |
Cigna
| Facility | $48.69 | $48.69 | $77.34 | |
Cigna
| Professional | $41.39 | $48.69 | $86.63 | |
Medica
| Facility | $30.95 | $72.81 | $349.46 | |
Medica
| Professional | $30.64 | $50.55 | $72.22 | |
United
| Professional | $30.64 | $51.14 | $68.77 |