| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.26 | $87.10 | $8,511.38 | |
Aetna
| Professional | $54.95 | $93.33 | $199.53 | |
Cigna
| Professional | $107.15 | $109.65 | $134.90 | |
Medica
| Facility | $60.26 | $97.72 | $165.96 | |
Medica
| Professional | $89.13 | $147.91 | $245.47 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 | |
United
| Professional | $89.13 | $138.04 | $181.97 |