| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.01 | $76.01 | $76.01 | |
Aetna
| Professional | $76.01 | $76.01 | $77.41 | |
Cigna
| Facility | $80.88 | $80.88 | $80.88 | |
Cigna
| Professional | $58.80 | $80.88 | $80.88 | |
Medica
| Facility | $65.12 | $76.01 | $108.69 | |
Medica
| Professional | $67.55 | $82.39 | $85.32 | |
United
| Professional | $68.62 | $85.23 | $86.68 |