| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.62 | $137.62 | $202.83 | |
Aetna
| Professional | $132.52 | $137.62 | $156.12 | |
Cigna
| Facility | $181.86 | $181.86 | $181.86 | |
Cigna
| Professional | $132.76 | $181.86 | $181.86 | |
Medica
| Facility | $93.74 | $174.80 | $1,549.83 | |
Medica
| Professional | $96.80 | $145.19 | $287.85 | |
United
| Facility | $111.88 | $145.19 | $189.98 | |
United
| Professional | $96.80 | $138.72 | $208.31 |