| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.60 | $87.17 | $108.97 | |
Cigna
| Facility | $111.50 | $111.50 | $163.72 | |
Cigna
| Professional | $94.78 | $111.50 | $193.50 | |
Medica
| Facility | $57.66 | $135.66 | $782.12 | |
Medica
| Professional | $60.54 | $94.18 | $139.91 | |
United
| Professional | $66.86 | $88.17 | $132.43 |