| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $271.02 | $361.37 | $867.29 | |
Aetna
| Professional | $267.41 | $267.41 | $386.67 | |
Cigna
| Facility | $234.89 | $234.89 | $317.10 | |
Cigna
| Professional | $439.97 | $439.97 | $527.13 | |
Medica
| Facility | $267.41 | $340.77 | $596.26 | |
Medica
| Professional | $151.78 | $151.78 | $477.01 | |
United
| Professional | $151.78 | $151.78 | $361.37 |