| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.26 | $28.54 | $35.67 | |
Cigna
| Facility | $35.11 | $35.11 | $53.14 | |
Cigna
| Professional | $29.84 | $35.11 | $61.88 | |
Medica
| Facility | $18.94 | $44.55 | $251.92 | |
Medica
| Professional | $19.88 | $30.93 | $44.18 | |
United
| Professional | $22.37 | $29.90 | $42.08 |