| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $97.72 | $213.80 | |
Aetna
| Professional | $69.18 | $93.33 | $100.00 | |
Cigna
| Professional | $100.00 | $100.00 | $125.89 | |
Medica
| Facility | $63.10 | $74.13 | $147.91 | |
Medica
| Professional | $85.11 | $95.50 | $95.50 | |
United
| Professional | $87.10 | $95.50 | $104.71 |