| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.04 | $173.78 | $524.81 | |
Aetna
| Professional | $114.82 | $134.90 | $173.78 | |
Cigna
| Facility | $112.20 | $112.20 | $457.09 | |
Cigna
| Professional | $199.53 | $199.53 | $251.19 | |
Medica
| Facility | $89.13 | $134.90 | $575.44 | |
Medica
| Professional | $72.44 | $72.44 | $173.78 | |
United
| Facility | $61.66 | $173.78 | $208.93 | |
United
| Professional | $72.44 | $72.44 | $104.71 |