| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $85.11 | $85.11 | |
Aetna
| Professional | $70.79 | $85.11 | $109.65 | |
Cigna
| Professional | $63.10 | $95.50 | $154.88 | |
Medica
| Facility | $75.86 | $87.10 | $141.25 | |
Medica
| Professional | $74.13 | $154.88 | $524.81 | |
United
| Professional | $74.13 | $114.82 | $181.97 |