| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.28 | $246.92 | $592.61 | |
Aetna
| Professional | $143.35 | $143.35 | $145.28 | |
Cigna
| Facility | $125.91 | $127.32 | $250.68 | |
Cigna
| Professional | $98.70 | $283.73 | $354.66 | |
Medica
| Facility | $102.67 | $165.44 | $648.92 | |
Medica
| Professional | $81.36 | $86.36 | $205.63 | |
United
| Professional | $81.36 | $86.36 | $123.46 |