| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.82 | $114.43 | $274.63 | |
Aetna
| Professional | $84.68 | $84.68 | $85.82 | |
Cigna
| Facility | $74.38 | $75.20 | $148.08 | |
Cigna
| Professional | $54.93 | $131.75 | $164.68 | |
Medica
| Facility | $75.52 | $94.98 | $383.34 | |
Medica
| Professional | $48.06 | $48.06 | $114.43 | |
United
| Professional | $48.06 | $48.06 | $68.66 |