| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $242.22 | $322.95 | $775.10 | |
Aetna
| Professional | $238.99 | $238.99 | $242.22 | |
Cigna
| Facility | $209.92 | $212.27 | $417.93 | |
Cigna
| Professional | $172.25 | $370.87 | $463.59 | |
Medica
| Facility | $171.17 | $264.83 | $1,081.92 | |
Medica
| Professional | $135.63 | $150.72 | $339.11 | |
United
| Professional | $135.63 | $150.72 | $215.31 |