| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $197.66 | $197.66 | $197.66 | |
Aetna
| Professional | $197.66 | $205.95 | $258.16 | |
Cigna
| Professional | $206.13 | $268.22 | $346.24 | |
Medica
| Facility | $180.08 | $205.71 | $441.50 | |
Medica
| Professional | $190.20 | $257.32 | $450.43 | |
United
| Professional | $179.01 | $249.48 | $395.18 |