| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.41 | $173.03 | $415.27 | |
Aetna
| Professional | $129.77 | $129.77 | $138.41 | |
Cigna
| Facility | $112.47 | $112.47 | $151.83 | |
Cigna
| Professional | $199.07 | $199.07 | $248.83 | |
Medica
| Facility | $89.98 | $129.77 | $579.65 | |
Medica
| Professional | $72.67 | $72.67 | $173.03 | |
United
| Professional | $72.67 | $72.67 | $173.03 |