| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.81 | $55.81 | $55.81 | |
Aetna
| Professional | $53.74 | $55.81 | $56.16 | |
Cigna
| Facility | $139.08 | $139.08 | $139.08 | |
Cigna
| Professional | $101.53 | $101.53 | $225.75 | |
Medica
| Facility | $55.81 | $58.60 | $600.04 | |
Medica
| Professional | $48.94 | $78.30 | $136.72 | |
United
| Professional | $48.94 | $73.40 | $136.72 |