| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.16 | $81.16 | $81.16 | |
Aetna
| Professional | $81.15 | $81.16 | $82.66 | |
Cigna
| Facility | $80.88 | $80.88 | $80.88 | |
Cigna
| Professional | $66.18 | $80.88 | $80.88 | |
Medica
| Facility | $35.60 | $75.15 | $116.06 | |
Medica
| Professional | $65.37 | $81.20 | $82.57 | |
United
| Professional | $68.59 | $85.21 | $86.65 |