| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.50 | $35.50 | $35.50 | |
Cigna
| Facility | $39.49 | $39.49 | $39.49 | |
Cigna
| Professional | $31.89 | $31.89 | $31.89 | |
Medica
| Facility | $44.77 | $109.94 | $237.65 | |
Medica
| Professional | $30.98 | $35.69 | $78.59 | |
United
| Professional | $32.81 | $38.54 | $75.63 |