| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.46 | $52.46 | $52.46 | |
Aetna
| Professional | $51.32 | $54.08 | $66.01 | |
Cigna
| Professional | $60.33 | $85.72 | $106.83 | |
Medica
| Facility | $51.83 | $63.81 | $121.87 | |
Medica
| Professional | $58.59 | $75.81 | $404.24 | |
United
| Professional | $55.34 | $72.38 | $96.04 |