| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.37 | $96.10 | $123.16 | |
Aetna
| Professional | $81.83 | $106.26 | $153.22 | |
Cigna
| Professional | $85.00 | $120.85 | $179.05 | |
Medica
| Facility | $96.10 | $136.66 | $194.02 | |
Medica
| Professional | $121.66 | $229.14 | $746.21 | |
United
| Professional | $119.50 | $207.45 | $306.67 |