| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.55 | $152.55 | $152.55 | |
Aetna
| Professional | $152.55 | $152.55 | $155.37 | |
Cigna
| Facility | $148.50 | $148.50 | $148.50 | |
Cigna
| Professional | $144.19 | $148.50 | $148.50 | |
Medica
| Facility | $151.01 | $158.96 | $230.49 | |
Medica
| Professional | $151.01 | $174.86 | $190.75 | |
United
| Professional | $151.01 | $174.86 | $190.75 |