| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.26 | $93.08 | $275.55 | |
Aetna
| Professional | $174.08 | $275.55 | $304.08 | |
Cigna
| Facility | $89.88 | $89.88 | $89.88 | |
Medica
| Facility | $206.66 | $275.55 | $2,894.15 | |
Medica
| Professional | $274.86 | $323.36 | $1,555.83 | |
United
| Professional | $274.86 | $323.36 | $568.29 |