| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $288.40 | $416.87 | |
Aetna
| Professional | $234.42 | $269.15 | $398.11 | |
Cigna
| Professional | $426.58 | $426.58 | $512.86 | |
Medica
| Facility | $257.04 | $346.74 | $602.56 | |
Medica
| Professional | $147.91 | $147.91 | $1,318.26 | |
United
| Facility | $346.74 | $346.74 | $416.87 | |
United
| Professional | $147.91 | $147.91 | $208.93 |