| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.15 | $67.13 | $114.12 | |
Aetna
| Professional | $66.73 | $66.73 | $68.65 | |
Cigna
| Facility | $55.28 | $55.28 | $61.80 | |
Cigna
| Professional | $61.80 | $61.80 | $61.80 | |
Medica
| Facility | $62.15 | $67.13 | $279.33 | |
Medica
| Professional | $62.15 | $62.15 | $85.57 | |
United
| Professional | $61.80 | $61.80 | $85.57 |