| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.97 | $142.63 | $342.31 | |
Aetna
| Professional | $105.55 | $105.55 | $152.61 | |
Cigna
| Facility | $92.71 | $92.71 | $381.04 | |
Cigna
| Professional | $173.80 | $173.80 | $208.23 | |
Medica
| Facility | $105.55 | $142.63 | $239.62 | |
Medica
| Professional | $59.90 | $59.90 | $213.95 | |
United
| Professional | $59.90 | $59.90 | $91.28 |