| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $226.01 | $301.35 | $723.24 | |
Aetna
| Professional | $223.00 | $223.00 | $322.44 | |
Cigna
| Facility | $195.88 | $195.88 | $805.07 | |
Cigna
| Professional | $367.30 | $367.30 | $440.06 | |
Medica
| Facility | $223.00 | $301.35 | $506.27 | |
Medica
| Professional | $126.57 | $126.57 | $1,131.64 | |
United
| Professional | $126.57 | $126.57 | $192.86 |