| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.70 | $88.24 | $150.01 | |
Aetna
| Professional | $85.10 | $85.10 | $87.53 | |
Cigna
| Facility | $74.33 | $74.33 | $78.79 | |
Cigna
| Professional | $31.87 | $78.79 | $78.79 | |
Medica
| Facility | $38.02 | $81.70 | $126.18 | |
Medica
| Professional | $69.45 | $81.70 | $91.50 | |
United
| Facility | $78.75 | $78.75 | $78.75 | |
United
| Professional | $66.98 | $78.80 | $88.26 |