| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.15 | $61.15 | $61.15 | |
Aetna
| Professional | $57.59 | $63.08 | $80.17 | |
Cigna
| Professional | $65.77 | $65.77 | $65.77 | |
Medica
| Facility | $60.41 | $64.20 | $118.93 | |
Medica
| Professional | $66.06 | $85.93 | $472.57 | |
United
| Professional | $63.81 | $85.50 | $119.26 |