| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.36 | $229.35 | $389.90 | |
Aetna
| Professional | $230.94 | $230.95 | $237.57 | |
Cigna
| Facility | $201.74 | $201.74 | $213.84 | |
Cigna
| Professional | $213.84 | $213.84 | $213.84 | |
Medica
| Facility | $212.36 | $229.35 | $327.97 | |
Medica
| Professional | $209.91 | $212.36 | $213.84 | |
United
| Professional | $213.84 | $213.84 | $229.15 |