| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.65 | $130.37 | $296.22 | |
Aetna
| Professional | $78.98 | $81.95 | $95.98 | |
Cigna
| Professional | $82.95 | $87.05 | $91.16 | |
Medica
| Facility | $78.98 | $87.98 | $127.97 | |
Medica
| Professional | $98.74 | $98.74 | $104.66 | |
United
| Professional | $98.74 | $98.74 | $104.66 |