| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.41 | $67.41 | $67.41 | |
Aetna
| Professional | $63.04 | $67.41 | $67.41 | |
Cigna
| Facility | $58.88 | $58.88 | $62.41 | |
Cigna
| Professional | $62.41 | $62.41 | $62.41 | |
Medica
| Facility | $64.59 | $67.83 | $99.86 | |
Medica
| Professional | $57.48 | $59.81 | $332.08 | |
United
| Professional | $62.41 | $62.41 | $68.81 |