| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $72.44 | $72.44 | |
Aetna
| Professional | $60.26 | $97.72 | $123.03 | |
Cigna
| Professional | $83.18 | $83.18 | $83.18 | |
Medica
| Facility | $40.74 | $74.13 | $125.89 | |
Medica
| Professional | $95.50 | $199.53 | $660.69 | |
United
| Professional | $35.48 | $144.54 | $229.09 |