| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.37 | $204.37 | $301.20 | |
Aetna
| Professional | $196.80 | $204.37 | $220.38 | |
Cigna
| Facility | $273.20 | $273.20 | $273.20 | |
Cigna
| Professional | $199.44 | $273.20 | $273.20 | |
Medica
| Facility | $133.16 | $267.94 | $2,218.98 | |
Medica
| Professional | $137.52 | $206.62 | $427.48 | |
United
| Professional | $137.52 | $206.01 | $295.93 |