| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.51 | $67.25 | $152.82 | |
Aetna
| Professional | $40.75 | $42.28 | $49.51 | |
Cigna
| Facility | $28.87 | $28.87 | $28.87 | |
Cigna
| Professional | $28.87 | $28.87 | $28.87 | |
Medica
| Facility | $36.92 | $46.35 | $69.56 | |
Medica
| Professional | $40.53 | $40.53 | $227.88 | |
United
| Professional | $40.53 | $40.53 | $42.96 |