| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.36 | $173.36 | $441.04 | |
Aetna
| Professional | $173.36 | $228.67 | $244.85 | |
Cigna
| Professional | $594.97 | $594.97 | $594.97 | |
Medica
| Facility | $173.36 | $300.62 | $520.08 | |
Medica
| Professional | $261.81 | $474.77 | $994.84 | |
United
| Facility | $681.00 | $681.00 | $681.00 | |
United
| Professional | $243.82 | $452.16 | $676.75 |