| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.42 | $52.30 | $88.91 | |
Aetna
| Professional | $52.96 | $52.96 | $52.96 | |
Cigna
| Facility | $46.26 | $46.26 | $49.03 | |
Cigna
| Professional | $18.67 | $49.03 | $49.03 | |
Medica
| Facility | $38.28 | $48.42 | $75.00 | |
Medica
| Professional | $48.42 | $48.42 | $49.03 | |
United
| Professional | $49.03 | $49.03 | $49.03 |