| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $285.54 | $422.60 | $913.73 | |
Aetna
| Professional | $285.54 | $285.54 | $380.72 | |
Cigna
| Facility | $247.47 | $250.23 | $492.68 | |
Cigna
| Professional | $437.37 | $437.37 | $546.71 | |
Medica
| Facility | $228.43 | $308.38 | $1,275.41 | |
Medica
| Professional | $159.90 | $159.90 | $380.72 | |
United
| Professional | $159.90 | $159.90 | $243.66 |