| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $101.40 | $125.00 | $161.50 |
Aetna
| Professional | 26 | $100.00 | $118.75 | $200.00 |
Cigna
| Professional | 26 | $89.45 | $101.92 | $168.38 |
Medica
| Facility | 26 | $734.80 | $945.52 | $945.52 |
Medica
| Professional | 26 | $76.04 | $97.77 | $215.63 |
United
| Professional | 26 | $76.04 | $90.98 | $130.36 |