| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.67 | $68.53 | $68.53 | |
Aetna
| Professional | $48.00 | $65.67 | $3,848.22 | |
Cigna
| Professional | $74.78 | $74.78 | $93.47 | |
Medica
| Facility | $65.67 | $65.67 | $197.01 | |
Medica
| Professional | $77.26 | $80.73 | $80.73 | |
United
| Professional | $73.40 | $80.73 | $82.94 |