| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.47 | $67.45 | $114.68 | |
Aetna
| Professional | $68.78 | $68.78 | $68.78 | |
Cigna
| Facility | $60.08 | $60.08 | $63.68 | |
Cigna
| Professional | $63.68 | $63.68 | $63.68 | |
Medica
| Facility | $45.82 | $62.47 | $115.66 | |
Medica
| Professional | $53.10 | $62.47 | $69.97 | |
United
| Professional | $50.94 | $63.68 | $71.31 |