| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $97.72 | $114.82 | |
Aetna
| Professional | $87.10 | $131.83 | $281.84 | |
Cigna
| Professional | $81.28 | $107.15 | $275.42 | |
Medica
| Facility | $97.72 | $141.25 | $194.98 | |
Medica
| Professional | $112.20 | $213.80 | $707.95 | |
United
| Professional | $100.00 | $181.97 | $251.19 |