| 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 | $211.81 | $336.77 | $372.66 | |
Medica
| Professional | $223.24 | $446.10 | $1,293.17 | |
United
| Professional | $234.99 | $424.62 | $593.57 |