| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.51 | $142.51 | $142.51 | |
Aetna
| Professional | $124.29 | $144.50 | $183.67 | |
Cigna
| Professional | $141.06 | $141.06 | $141.06 | |
Medica
| Facility | $140.58 | $148.12 | $261.14 | |
Medica
| Professional | $150.59 | $198.00 | $1,105.55 | |
United
| Professional | $148.69 | $195.32 | $251.86 |