| 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 | $74.38 | $305.70 | |
Cigna
| Professional | $139.65 | $139.65 | $167.32 | |
Medica
| Facility | $84.68 | $114.43 | $192.24 | |
Medica
| Professional | $48.06 | $48.06 | $160.19 | |
United
| Professional | $48.06 | $48.06 | $73.23 |