| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.36 | $77.36 | $77.36 | |
Aetna
| Professional | $61.63 | $69.30 | $92.92 | |
Cigna
| Professional | $81.38 | $82.19 | $103.35 | |
Medica
| Facility | $69.09 | $77.36 | $131.51 | |
Medica
| Professional | $79.04 | $144.10 | $472.20 | |
United
| Professional | $79.04 | $139.90 | $192.63 |