| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.47 | $207.31 | $497.54 | |
Aetna
| Professional | $153.41 | $153.41 | $221.82 | |
Cigna
| Facility | $134.75 | $134.75 | $553.82 | |
Cigna
| Professional | $86.53 | $110.56 | $302.64 | |
Medica
| Facility | $153.41 | $207.31 | $348.28 | |
Medica
| Professional | $87.07 | $87.07 | $310.97 | |
United
| Professional | $87.07 | $87.07 | $132.68 |