| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.50 | $161.68 | $242.52 | |
Aetna
| Professional | $65.48 | $65.48 | $78.58 | |
Cigna
| Facility | $71.41 | $71.41 | $71.41 | |
Medica
| Facility | $70.22 | $93.64 | $100.00 | |
Medica
| Professional | $80.84 | $80.84 | $80.84 | |
United
| Professional | $80.84 | $80.84 | $80.84 |