| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.12 | $274.83 | $659.59 | |
Aetna
| Professional | $203.37 | $203.37 | $294.07 | |
Cigna
| Facility | $178.64 | $178.64 | $734.21 | |
Cigna
| Professional | $334.90 | $334.90 | $401.25 | |
Medica
| Facility | $203.37 | $274.83 | $461.71 | |
Medica
| Professional | $103.54 | $103.54 | $412.25 | |
United
| Professional | $103.54 | $103.54 | $246.52 |