| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $281.84 | $851.14 | |
Aetna
| Professional | $190.55 | $218.78 | $323.59 | |
Cigna
| Facility | $181.97 | $181.97 | $758.58 | |
Cigna
| Professional | $346.74 | $346.74 | $416.87 | |
Medica
| Facility | $208.93 | $281.84 | $489.78 | |
Medica
| Professional | $117.49 | $117.49 | $1,071.52 | |
United
| Facility | $117.49 | $281.84 | $338.84 | |
United
| Professional | $117.49 | $117.49 | $186.21 |