| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.94 | $93.90 | $159.63 | |
Aetna
| Professional | $94.27 | $94.27 | $94.27 | |
Cigna
| Facility | $82.34 | $82.34 | $87.28 | |
Cigna
| Professional | $87.28 | $87.28 | $87.28 | |
Medica
| Facility | $83.87 | $98.60 | $393.25 | |
Medica
| Professional | $84.80 | $86.94 | $87.28 | |
United
| Professional | $87.28 | $87.28 | $92.52 |