| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.75 | $137.00 | $328.80 | |
Aetna
| Professional | $101.38 | $101.38 | $146.59 | |
Cigna
| Facility | $89.05 | $89.05 | $366.00 | |
Cigna
| Professional | $55.36 | $70.73 | $200.36 | |
Medica
| Facility | $101.38 | $137.00 | $230.16 | |
Medica
| Professional | $57.54 | $57.54 | $205.50 | |
United
| Professional | $57.54 | $57.54 | $87.68 |