| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.21 | $245.47 | $741.31 | |
Aetna
| Professional | $165.96 | $190.55 | $245.47 | |
Cigna
| Facility | $162.18 | $162.18 | $660.69 | |
Cigna
| Professional | $281.84 | $281.84 | $354.81 | |
Medica
| Facility | $165.96 | $204.17 | $630.96 | |
Medica
| Professional | $104.71 | $104.71 | $257.04 | |
United
| Facility | $89.13 | $245.47 | $295.12 | |
United
| Professional | $104.71 | $104.71 | $147.91 |