| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $131.83 | $131.83 | |
Aetna
| Professional | $104.71 | $109.65 | $131.83 | |
Cigna
| Professional | $112.20 | $112.20 | $112.20 | |
Medica
| Facility | $117.49 | $177.83 | $223.87 | |
Medica
| Professional | $489.78 | $489.78 | $489.78 |