| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.97 | $163.96 | $393.50 | |
Aetna
| Professional | $121.33 | $121.33 | $175.44 | |
Cigna
| Facility | $106.57 | $106.57 | $438.00 | |
Cigna
| Professional | $199.63 | $199.63 | $239.18 | |
Medica
| Facility | $121.33 | $163.96 | $275.45 | |
Medica
| Professional | $68.86 | $85.02 | $245.94 | |
United
| Professional | $68.86 | $84.44 | $121.45 |