| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.43 | $84.71 | $144.01 | |
Aetna
| Professional | $85.25 | $85.25 | $87.69 | |
Cigna
| Facility | $74.47 | $74.47 | $78.93 | |
Cigna
| Professional | $78.93 | $78.93 | $78.93 | |
Medica
| Facility | $78.43 | $88.95 | $398.70 | |
Medica
| Professional | $78.43 | $78.43 | $79.73 | |
United
| Professional | $78.93 | $78.93 | $78.93 |