| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.11 | $174.81 | $419.54 | |
Aetna
| Professional | $129.36 | $129.36 | $187.05 | |
Cigna
| Facility | $113.63 | $113.63 | $467.02 | |
Cigna
| Professional | $70.80 | $128.80 | $254.91 | |
Medica
| Facility | $129.36 | $174.81 | $293.68 | |
Medica
| Professional | $73.42 | $73.42 | $262.22 | |
United
| Professional | $73.42 | $73.42 | $174.81 |