| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $77.62 | $77.62 | |
Aetna
| Professional | $57.54 | $67.61 | $91.20 | |
Cigna
| Professional | $81.28 | $83.18 | $102.33 | |
Medica
| Facility | $60.26 | $77.62 | $131.83 | |
Medica
| Professional | $87.10 | $144.54 | $467.74 | |
United
| Professional | $87.10 | $141.25 | $194.98 |