| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.20 | $88.38 | $219.27 | |
Aetna
| Professional | $43.64 | $54.93 | $65.06 | |
Cigna
| Facility | $64.56 | $64.56 | $64.56 | |
Cigna
| Professional | $64.56 | $73.68 | $97.27 | |
Medica
| Facility | $54.22 | $64.56 | $109.55 | |
Medica
| Professional | $73.09 | $73.09 | $342.83 | |
United
| Professional | $73.09 | $73.09 | $77.48 |