| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.72 | $198.74 | $476.98 | |
Aetna
| Professional | $111.72 | $111.72 | $140.69 | |
Cigna
| Facility | $96.82 | $96.82 | $397.93 | |
Cigna
| Professional | $242.09 | $242.09 | $290.05 | |
Medica
| Facility | $110.23 | $159.76 | $327.92 | |
Medica
| Professional | $62.56 | $69.52 | $262.33 | |
United
| Professional | $62.56 | $69.52 | $99.37 |