| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.49 | $160.49 | $236.54 | |
Aetna
| Professional | $154.54 | $160.49 | $160.59 | |
Cigna
| Facility | $218.57 | $218.57 | $218.57 | |
Cigna
| Professional | $159.56 | $218.57 | $218.57 | |
Medica
| Facility | $97.03 | $210.42 | $1,607.39 | |
Medica
| Professional | $100.20 | $161.78 | $335.70 | |
United
| Professional | $100.20 | $153.05 | $215.63 |