| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.67 | $68.30 | $92.59 | |
Aetna
| Professional | $62.33 | $71.14 | $96.78 | |
Cigna
| Facility | $115.77 | $115.77 | $170.74 | |
Cigna
| Professional | $60.84 | $94.33 | $115.43 | |
Medica
| Facility | $58.90 | $86.40 | $121.05 | |
Medica
| Professional | $68.40 | $88.53 | $484.81 | |
United
| Professional | $66.80 | $81.43 | $112.67 |