| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $165.96 | $245.47 | |
Aetna
| Professional | $158.49 | $162.18 | $177.83 | |
Cigna
| Professional | $131.83 | $131.83 | $169.82 | |
Medica
| Facility | $67.61 | $147.91 | $257.04 | |
Medica
| Professional | $154.88 | $169.82 | $186.21 | |
United
| Professional | $162.18 | $177.83 | $194.98 |