| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.01 | $77.01 | $113.51 | |
Aetna
| Professional | $74.16 | $77.01 | $77.01 | |
Cigna
| Facility | $112.36 | $112.36 | $112.36 | |
Cigna
| Professional | $82.02 | $112.36 | $112.36 | |
Medica
| Facility | $43.54 | $97.83 | $701.53 | |
Medica
| Professional | $44.96 | $77.63 | $161.08 | |
United
| Professional | $44.96 | $67.45 | $96.76 |