| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.72 | $108.72 | $113.04 | |
Aetna
| Professional | $108.72 | $113.04 | $115.13 | |
Cigna
| Facility | $115.07 | $115.07 | $115.07 | |
Cigna
| Professional | $77.94 | $115.07 | $115.07 | |
Medica
| Facility | $101.29 | $114.16 | $431.25 | |
Medica
| Professional | $93.88 | $116.61 | $118.58 | |
United
| Professional | $97.60 | $121.23 | $123.29 |