| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $128.82 | |
Aetna
| Professional | $77.62 | $100.00 | $123.03 | |
Cigna
| Professional | $93.33 | $93.33 | $114.82 | |
Medica
| Facility | $61.66 | $100.00 | $302.00 | |
Medica
| Professional | $95.50 | $104.71 | $114.82 | |
United
| Professional | $95.50 | $107.15 | $117.49 |