| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.63 | $58.63 | $116.67 | |
Aetna
| Professional | $57.90 | $59.35 | $61.52 | |
Cigna
| Facility | $61.52 | $61.52 | $61.52 | |
Cigna
| Professional | $61.52 | $61.52 | $61.52 | |
Medica
| Facility | $58.63 | $66.84 | $118.45 | |
Medica
| Professional | $60.32 | $60.32 | $477.55 | |
United
| Professional | $57.97 | $60.32 | $66.83 |