| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $188.91 | $353.10 | $529.65 | |
Aetna
| Professional | $143.01 | $143.01 | $171.61 | |
Cigna
| Facility | $149.71 | $149.71 | $149.71 | |
Medica
| Facility | $148.63 | $171.61 | $204.50 | |
Medica
| Professional | $136.80 | $136.80 | $136.80 | |
United
| Professional | $136.80 | $136.80 | $136.80 |