| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $101.64 | $140.91 | $231.86 |
Aetna
| Professional | 26 | $90.00 | $100.00 | $125.00 |
Cigna
| Professional | 26 | $91.16 | $113.75 | $184.00 |
Medica
| Facility | 26 | $734.80 | $734.80 | $734.80 |
Medica
| Professional | 26 | $91.44 | $119.49 | $1,192.32 |
United
| Professional | 26 | $91.44 | $118.01 | $218.03 |