| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.16 | $177.56 | $426.14 | |
Aetna
| Professional | $131.38 | $131.38 | $133.16 | |
Cigna
| Facility | $115.41 | $115.41 | $474.34 | |
Cigna
| Professional | $79.11 | $204.02 | $255.03 | |
Medica
| Facility | $88.78 | $88.78 | $843.41 | |
Medica
| Professional | $74.58 | $74.58 | $177.56 | |
United
| Professional | $74.58 | $74.58 | $177.56 |