| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.67 | $122.22 | $293.33 | |
Aetna
| Professional | $90.44 | $91.67 | $130.78 | |
Cigna
| Facility | $79.44 | $79.44 | $326.50 | |
Cigna
| Professional | $54.47 | $111.04 | $189.22 | |
Medica
| Facility | $90.44 | $122.22 | $205.33 | |
Medica
| Professional | $51.33 | $63.37 | $183.33 | |
United
| Professional | $51.33 | $62.94 | $90.53 |