| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $112.20 | $338.84 | |
Aetna
| Professional | $75.86 | $87.10 | $112.20 | |
Cigna
| Facility | $72.44 | $72.44 | $302.00 | |
Cigna
| Professional | $128.82 | $128.82 | $162.18 | |
Medica
| Facility | $58.88 | $91.20 | $371.54 | |
Medica
| Professional | $46.77 | $46.77 | $117.49 | |
United
| Facility | $40.74 | $112.20 | $134.90 | |
United
| Professional | $46.77 | $46.77 | $67.61 |