| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.00 | $45.00 | $260.00 | |
Aetna
| Professional | $35.00 | $45.00 | $302.44 | |
Cigna
| Professional | $180.00 | $216.00 | $223.02 | |
Medica
| Facility | $35.00 | $50.00 | $2,700.00 | |
Medica
| Professional | $50.00 | $75.00 | $90.00 | |
United
| Professional | $58.00 | $75.00 | $84.67 |