| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.69 | $68.92 | $165.41 | |
Aetna
| Professional | $51.00 | $51.00 | $51.69 | |
Cigna
| Facility | $44.80 | $45.30 | $89.19 | |
Cigna
| Professional | $30.69 | $79.30 | $99.12 | |
Medica
| Facility | $36.53 | $36.53 | $327.37 | |
Medica
| Professional | $28.95 | $34.03 | $72.37 | |
United
| Professional | $28.95 | $34.03 | $44.80 |