| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.99 | $129.99 | $191.59 | |
Aetna
| Professional | $125.17 | $129.99 | $156.65 | |
Cigna
| Facility | $190.78 | $190.78 | $190.78 | |
Cigna
| Professional | $139.27 | $190.78 | $190.78 | |
Medica
| Facility | $84.01 | $170.42 | $1,353.88 | |
Medica
| Professional | $86.76 | $131.41 | $271.89 | |
United
| Professional | $86.76 | $130.13 | $186.68 |