| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.43 | $241.90 | $580.55 | |
Aetna
| Professional | $179.01 | $179.01 | $258.83 | |
Cigna
| Facility | $157.24 | $157.24 | $646.26 | |
Cigna
| Professional | $107.79 | $219.96 | $374.84 | |
Medica
| Facility | $179.01 | $241.90 | $406.39 | |
Medica
| Professional | $101.60 | $125.43 | $362.85 | |
United
| Professional | $101.60 | $124.58 | $268.77 |