| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.98 | $78.98 | $177.73 | |
Aetna
| Professional | $78.98 | $81.95 | $98.74 | |
Cigna
| Professional | $82.13 | $83.93 | $104.30 | |
Medica
| Facility | $78.98 | $83.93 | $98.74 | |
Medica
| Professional | $98.74 | $109.92 | $123.11 | |
United
| Professional | $98.74 | $98.74 | $119.38 |