| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.02 | $124.34 | $268.85 | |
Aetna
| Professional | $82.89 | $82.89 | $84.02 | |
Cigna
| Facility | $72.81 | $72.81 | $299.25 | |
Cigna
| Professional | $128.44 | $128.44 | $160.55 | |
Medica
| Facility | $58.25 | $89.62 | $375.27 | |
Medica
| Professional | $47.05 | $47.05 | $112.02 | |
United
| Professional | $47.05 | $47.05 | $67.20 |