| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.72 | $136.72 | $257.04 | |
Aetna
| Professional | $121.29 | $150.88 | $179.37 | |
Cigna
| Professional | $149.69 | $149.69 | $149.69 | |
Medica
| Facility | $133.47 | $192.19 | $892.39 | |
Medica
| Professional | $160.75 | $191.37 | $1,158.18 | |
United
| Professional | $157.35 | $191.37 | $249.80 |