| 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 | $92.37 | $252.60 | $626.00 | |
Medica
| Facility | $153.41 | $290.23 | $624.57 | |
Medica
| Professional | $87.07 | $181.18 | $455.45 | |
United
| Facility | $1,953.87 | $1,953.87 | $1,953.87 | |
United
| Professional | $87.07 | $96.75 | $258.83 |