| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.16 | $282.88 | $678.91 | |
Aetna
| Professional | $209.33 | $209.33 | $302.68 | |
Cigna
| Facility | $183.87 | $183.87 | $755.71 | |
Cigna
| Professional | $344.97 | $344.97 | $413.31 | |
Medica
| Facility | $209.33 | $282.88 | $475.24 | |
Medica
| Professional | $118.81 | $118.81 | $1,062.28 | |
United
| Professional | $118.81 | $118.81 | $181.04 |