| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.26 | $41.26 | $58.17 | |
Aetna
| Professional | $40.75 | $41.77 | $43.30 | |
Cigna
| Facility | $28.87 | $28.87 | $28.87 | |
Cigna
| Professional | $28.87 | $28.87 | $28.87 | |
Medica
| Facility | $41.26 | $42.45 | $50.94 | |
Medica
| Professional | $36.47 | $42.96 | $227.88 | |
United
| Professional | $40.53 | $40.53 | $46.61 |