| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.08 | $154.51 | $184.10 | |
Aetna
| Professional | $120.53 | $154.51 | $208.63 | |
Cigna
| Professional | $129.63 | $179.28 | $260.68 | |
Medica
| Facility | $148.65 | $200.31 | $285.83 | |
Medica
| Professional | $184.43 | $337.73 | $933.45 | |
United
| Professional | $160.44 | $334.09 | $458.41 |