| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.71 | $133.71 | $133.71 | |
Aetna
| Professional | $125.04 | $133.71 | $133.71 | |
Cigna
| Facility | $116.79 | $116.79 | $123.80 | |
Cigna
| Professional | $123.80 | $123.80 | $123.80 | |
Medica
| Facility | $136.15 | $142.96 | $270.00 | |
Medica
| Professional | $121.14 | $126.06 | $3,125.88 | |
United
| Professional | $123.80 | $123.80 | $136.51 |