| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.54 | $98.08 | $115.39 | |
Aetna
| Professional | $92.56 | $124.00 | $263.74 | |
Cigna
| Professional | $81.00 | $108.39 | $277.17 | |
Medica
| Facility | $98.08 | $140.37 | $196.16 | |
Medica
| Professional | $113.40 | $214.38 | $699.89 | |
United
| Professional | $113.40 | $194.09 | $287.32 |