| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.51 | $305.64 | $660.84 | |
Aetna
| Professional | $206.51 | $206.51 | $245.44 | |
Cigna
| Facility | $178.98 | $178.98 | $735.61 | |
Cigna
| Professional | $335.34 | $335.34 | $401.77 | |
Medica
| Facility | $203.76 | $268.45 | $462.59 | |
Medica
| Professional | $115.65 | $115.65 | $413.03 | |
United
| Professional | $115.65 | $115.65 | $176.22 |