| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $151.36 | $446.68 | |
Aetna
| Professional | $100.00 | $117.49 | $173.78 | |
Cigna
| Facility | $97.72 | $97.72 | $398.11 | |
Cigna
| Professional | $165.96 | $165.96 | $199.53 | |
Medica
| Facility | $112.20 | $151.36 | $263.03 | |
Medica
| Professional | $63.10 | $63.10 | $223.87 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $63.10 | $63.10 | $100.00 |