| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.54 | $114.43 | $274.63 | |
Aetna
| Professional | $85.82 | $85.82 | $91.54 | |
Cigna
| Facility | $74.38 | $74.38 | $100.41 | |
Cigna
| Professional | $131.75 | $131.75 | $164.68 | |
Medica
| Facility | $59.50 | $85.82 | $543.54 | |
Medica
| Professional | $48.06 | $48.06 | $114.43 | |
United
| Professional | $48.06 | $48.06 | $68.66 |