| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $231.43 | $231.43 | $553.77 | |
Aetna
| Professional | $231.43 | $302.55 | $332.37 | |
Cigna
| Facility | $360.89 | $360.89 | $360.89 | |
Cigna
| Professional | $432.41 | $747.03 | $1,509.19 | |
Medica
| Facility | $231.43 | $461.48 | $553.77 | |
Medica
| Professional | $349.35 | $641.35 | $2,070.79 | |
United
| Professional | $361.43 | $615.91 | $857.95 |