| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.41 | $32.03 | $40.04 | |
Cigna
| Facility | $39.90 | $39.90 | $59.63 | |
Cigna
| Professional | $33.92 | $39.90 | $70.88 | |
Medica
| Facility | $20.12 | $50.33 | $286.32 | |
Medica
| Professional | $21.13 | $33.14 | $47.70 | |
United
| Professional | $21.13 | $32.86 | $46.95 |