| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.08 | $78.42 | $98.03 | |
Cigna
| Facility | $96.42 | $96.42 | $131.21 | |
Cigna
| Professional | $81.96 | $96.42 | $154.50 | |
Medica
| Facility | $42.97 | $102.93 | $671.07 | |
Medica
| Professional | $45.12 | $74.59 | $104.28 | |
United
| Professional | $55.48 | $72.50 | $101.24 |