| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $204.17 | $354.81 | |
Aetna
| Professional | $173.78 | $204.17 | $275.42 | |
Cigna
| Professional | $371.54 | $467.74 | $933.25 | |
Medica
| Facility | $204.17 | $331.13 | $407.38 | |
Medica
| Professional | $208.93 | $426.58 | $1,288.25 | |
United
| Professional | $199.53 | $346.74 | $524.81 |