| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $123.03 | $363.08 | |
Aetna
| Professional | $81.28 | $107.15 | $190.55 | |
Cigna
| Facility | $79.43 | $79.43 | $323.59 | |
Cigna
| Professional | $54.95 | $112.20 | $190.55 | |
Medica
| Facility | $91.20 | $123.03 | $213.80 | |
Medica
| Professional | $51.29 | $63.10 | $181.97 | |
United
| Facility | $51.29 | $123.03 | $147.91 | |
United
| Professional | $51.29 | $63.10 | $91.20 |