| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.47 | $91.64 | $114.55 | |
Cigna
| Facility | $70.53 | $70.53 | $157.02 | |
Cigna
| Professional | $51.49 | $70.53 | $189.38 | |
Medica
| Facility | $118.87 | $120.28 | $802.71 | |
Medica
| Professional | $58.57 | $93.70 | $130.15 | |
United
| Professional | $58.57 | $94.93 | $130.15 |