| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.31 | $187.50 | $281.25 | |
Aetna
| Professional | $75.94 | $75.94 | $91.13 | |
Cigna
| Facility | $79.50 | $79.50 | $79.50 | |
Cigna
| Professional | $79.50 | $79.50 | $79.50 | |
Medica
| Facility | $82.53 | $108.59 | $141.37 | |
Medica
| Professional | $90.69 | $90.69 | $90.69 | |
United
| Professional | $90.69 | $90.69 | $90.69 |