| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.94 | $193.25 | $463.80 | |
Aetna
| Professional | $143.01 | $143.01 | $206.78 | |
Cigna
| Facility | $125.61 | $125.61 | $516.26 | |
Cigna
| Professional | $80.70 | $103.12 | $281.66 | |
Medica
| Facility | $143.01 | $193.25 | $324.66 | |
Medica
| Professional | $81.17 | $81.17 | $289.88 | |
United
| Professional | $81.17 | $81.17 | $123.68 |