| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.15 | $148.88 | $182.84 | |
Aetna
| Professional | $144.15 | $144.15 | $146.81 | |
Cigna
| Facility | $131.13 | $131.13 | $131.13 | |
Cigna
| Professional | $56.19 | $131.13 | $131.13 | |
Medica
| Facility | $119.43 | $137.05 | $206.13 | |
Medica
| Professional | $111.23 | $138.15 | $140.50 | |
United
| Professional | $111.23 | $138.15 | $140.50 |