| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.04 | $144.54 | $147.91 | |
Aetna
| Professional | $109.65 | $138.04 | $190.55 | |
Cigna
| Professional | $158.49 | $251.19 | $346.74 | |
Medica
| Facility | $109.65 | $186.21 | $309.03 | |
Medica
| Professional | $138.04 | $275.42 | $851.14 | |
United
| Professional | $128.82 | $218.78 | $338.84 |