| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $312.60 | $390.75 | $937.80 | |
Aetna
| Professional | $293.06 | $293.06 | $312.60 | |
Cigna
| Facility | $253.99 | $253.99 | $342.89 | |
Cigna
| Professional | $448.93 | $448.93 | $561.16 | |
Medica
| Facility | $234.45 | $293.06 | $1,309.01 | |
Medica
| Professional | $164.12 | $164.12 | $390.75 | |
United
| Professional | $164.12 | $164.12 | $250.08 |