| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.19 | $49.59 | $119.02 | |
Aetna
| Professional | $36.70 | $36.70 | $53.06 | |
Cigna
| Facility | $32.22 | $32.22 | $132.47 | |
Cigna
| Professional | $22.05 | $50.09 | $98.00 | |
Medica
| Facility | $36.70 | $69.43 | $97.95 | |
Medica
| Professional | $20.83 | $28.41 | $74.39 | |
United
| Facility | $17.85 | $49.59 | $306.39 | |
United
| Professional | $20.83 | $28.34 | $59.61 |