| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.65 | $130.30 | $130.30 | |
Aetna
| Professional | $31.09 | $119.20 | $187.37 | |
Cigna
| Facility | $37.28 | $37.28 | $37.28 | |
Cigna
| Professional | $77.23 | $155.93 | $239.89 | |
Medica
| Facility | $47.46 | $57.65 | $260.81 | |
Medica
| Professional | $184.45 | $360.11 | $1,157.43 | |
United
| Professional | $184.45 | $345.20 | $484.60 |