| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.03 | $160.63 | $233.97 | |
Aetna
| Professional | $19.50 | $146.03 | $186.99 | |
Cigna
| Facility | $104.75 | $104.75 | $136.56 | |
Cigna
| Professional | $134.28 | $134.28 | $209.81 | |
Medica
| Facility | $85.00 | $146.03 | $224.21 | |
Medica
| Professional | $40.95 | $184.45 | $1,157.43 | |
United
| Facility | $180.78 | $191.41 | $220.97 | |
United
| Professional | $153.43 | $185.52 | $294.24 |