| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.14 | $120.14 | $270.32 | |
Aetna
| Professional | $120.14 | $150.18 | $150.18 | |
Cigna
| Professional | $65.25 | $65.25 | $81.56 | |
Medica
| Facility | $88.79 | $150.18 | $204.24 | |
Medica
| Professional | $125.15 | $125.15 | $135.91 | |
United
| Professional | $106.38 | $125.15 | $135.91 |