| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $95.50 | $123.03 | |
Aetna
| Professional | $72.44 | $104.71 | $165.96 | |
Cigna
| Professional | $85.11 | $125.89 | $177.83 | |
Medica
| Facility | $91.20 | $134.90 | $234.42 | |
Medica
| Professional | $107.15 | $208.93 | $741.31 | |
United
| Professional | $89.13 | $151.36 | $245.47 |