| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $154.88 | $154.88 | |
Aetna
| Professional | $97.72 | $123.03 | $158.49 | |
Cigna
| Professional | $147.91 | $147.91 | $186.21 | |
Medica
| Facility | $158.49 | $263.03 | $616.60 | |
Medica
| Professional | $173.78 | $346.74 | $371.54 | |
United
| Professional | $125.89 | $125.89 | $229.09 |