| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.00 | $210.79 | $512.75 | |
Aetna
| Professional | $210.79 | $279.47 | $305.62 | |
Cigna
| Facility | $334.42 | $334.42 | $334.42 | |
Cigna
| Professional | $694.91 | $694.91 | $1,398.52 | |
Medica
| Facility | $63.00 | $402.62 | $512.75 | |
Medica
| Professional | $313.35 | $561.02 | $1,555.83 | |
United
| Professional | $313.35 | $541.23 | $883.50 |