| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $185.19 | $246.92 | $592.61 | |
Aetna
| Professional | $182.72 | $182.72 | $185.19 | |
Cigna
| Facility | $160.50 | $162.29 | $319.52 | |
Cigna
| Professional | $283.73 | $283.73 | $354.66 | |
Medica
| Facility | $164.45 | $204.94 | $629.65 | |
Medica
| Professional | $103.71 | $103.71 | $246.92 | |
United
| Facility | $88.89 | $222.23 | $246.92 | |
United
| Professional | $103.71 | $103.71 | $148.15 |