| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.38 | $88.03 | $106.01 | |
Aetna
| Professional | $106.01 | $106.01 | $107.97 | |
Cigna
| Facility | $96.58 | $96.58 | $96.58 | |
Cigna
| Professional | $28.84 | $96.58 | $96.58 | |
Medica
| Facility | $56.01 | $83.49 | $151.59 | |
Medica
| Professional | $81.92 | $97.44 | $103.48 | |
United
| Professional | $81.92 | $101.75 | $103.48 |