| 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 | $485.56 | $935.47 | |
Medica
| Facility | $205.87 | $345.09 | $588.16 | |
Medica
| Professional | $357.37 | $714.36 | $1,293.17 | |
United
| Professional | $256.19 | $639.16 | $829.80 |