| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $107.15 | $323.59 | |
Aetna
| Professional | $70.79 | $83.18 | $128.82 | |
Cigna
| Facility | $69.18 | $69.18 | $288.40 | |
Cigna
| Professional | $131.83 | $131.83 | $154.88 | |
Medica
| Facility | $79.43 | $107.15 | $186.21 | |
Medica
| Professional | $44.67 | $44.67 | $398.11 | |
United
| Facility | $44.67 | $107.15 | $128.82 | |
United
| Professional | $44.67 | $44.67 | $70.79 |