| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.44 | $142.44 | $366.30 | |
Aetna
| Professional | $142.44 | $191.29 | $191.29 | |
Cigna
| Professional | $233.76 | $233.76 | $343.17 | |
Medica
| Facility | $122.10 | $154.66 | $366.30 | |
Medica
| Professional | $113.67 | $264.68 | $407.00 | |
United
| Professional | $85.47 | $221.66 | $345.95 |