| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $114.82 | $346.74 | |
Aetna
| Professional | $75.86 | $89.13 | $131.83 | |
Cigna
| Facility | $74.13 | $74.13 | $309.03 | |
Cigna
| Professional | $141.25 | $141.25 | $165.96 | |
Medica
| Facility | $85.11 | $114.82 | $199.53 | |
Medica
| Professional | $47.86 | $47.86 | $169.82 | |
United
| Facility | $47.86 | $114.82 | $138.04 | |
United
| Professional | $47.86 | $47.86 | $75.86 |