| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.65 | $109.49 | $136.87 | |
Cigna
| Facility | $83.15 | $83.15 | $185.12 | |
Cigna
| Professional | $60.70 | $83.14 | $228.75 | |
Medica
| Facility | $143.63 | $143.71 | $970.44 | |
Medica
| Professional | $69.05 | $111.92 | $153.94 | |
United
| Professional | $81.02 | $111.92 | $153.94 |