| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.62 | $409.21 | $847.22 | |
Aetna
| Professional | $9.92 | $10.69 | $10.69 | |
Cigna
| Facility | $33.60 | $33.60 | $38.64 | |
Cigna
| Professional | $21.18 | $27.45 | $42.00 | |
Medica
| Facility | $26.91 | $104.80 | $154.40 | |
Medica
| Professional | $12.27 | $21.41 | $27.02 | |
United
| Professional | $14.72 | $18.20 | $27.02 |