| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.30 | $134.13 | $321.91 | |
Aetna
| Professional | $100.60 | $100.60 | $107.30 | |
Cigna
| Facility | $87.18 | $87.18 | $117.69 | |
Cigna
| Professional | $163.72 | $163.72 | $196.17 | |
Medica
| Facility | $100.60 | $134.13 | $225.34 | |
Medica
| Professional | $56.33 | $56.33 | $177.05 | |
United
| Professional | $56.33 | $56.33 | $85.84 |