| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.23 | $99.23 | $146.24 | |
Aetna
| Professional | $95.55 | $99.23 | $111.86 | |
Cigna
| Facility | $147.05 | $147.05 | $147.05 | |
Cigna
| Professional | $107.35 | $107.35 | $241.88 | |
Medica
| Facility | $60.43 | $127.76 | $981.02 | |
Medica
| Professional | $62.40 | $100.02 | $207.54 | |
United
| Professional | $62.40 | $93.61 | $134.29 |