| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.81 | $138.15 | $942.87 | |
Aetna
| Professional | $101.98 | $103.26 | $105.81 | |
Cigna
| Facility | $108.36 | $108.36 | $108.36 | |
Cigna
| Professional | $108.36 | $108.36 | $108.36 | |
Medica
| Facility | $103.26 | $117.72 | $217.02 | |
Medica
| Professional | $106.24 | $106.24 | $130.25 | |
United
| Professional | $106.24 | $106.24 | $112.61 |