| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.43 | $455.00 | $983.76 | |
Aetna
| Professional | $307.43 | $307.43 | $387.13 | |
Cigna
| Facility | $266.44 | $266.44 | $1,095.07 | |
Cigna
| Professional | $499.07 | $499.07 | $597.94 | |
Medica
| Facility | $303.33 | $409.90 | $688.63 | |
Medica
| Professional | $172.16 | $191.29 | $614.85 | |
United
| Professional | $172.16 | $191.29 | $273.27 |