| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.00 | $500.00 | $2,100.00 | |
Aetna
| Professional | $171.00 | $211.49 | $255.08 | |
Cigna
| Facility | $141.80 | $141.80 | $141.80 | |
Cigna
| Professional | $225.00 | $225.00 | $378.00 | |
Medica
| Facility | $402.21 | $450.66 | $1,093.20 | |
Medica
| Professional | $318.13 | $376.18 | $1,293.17 | |
United
| Professional | $318.13 | $376.18 | $564.27 |