| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $205.87 | $205.87 | $346.54 | |
Aetna
| Professional | $185.38 | $203.95 | $243.37 | |
Cigna
| Facility | $223.70 | $223.70 | $223.70 | |
Cigna
| Professional | $464.49 | $464.49 | $935.47 | |
Medica
| Facility | $194.36 | $307.19 | $352.10 | |
Medica
| Professional | $173.26 | $364.32 | $1,293.17 | |
United
| Professional | $182.38 | $346.16 | $460.59 |