| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.27 | $90.27 | $133.04 | |
Aetna
| Professional | $86.92 | $90.27 | $103.59 | |
Cigna
| Facility | $119.29 | $119.29 | $119.29 | |
Cigna
| Professional | $87.08 | $87.08 | $295.13 | |
Medica
| Facility | $61.48 | $118.35 | $980.51 | |
Medica
| Professional | $63.49 | $95.24 | $188.81 | |
United
| Professional | $63.49 | $93.25 | $136.63 |