| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.75 | $743.00 | $2,100.00 | |
Aetna
| Professional | $206.79 | $250.00 | $349.63 | |
Cigna
| Facility | $117.17 | $117.17 | $117.17 | |
Cigna
| Professional | $171.58 | $203.40 | $342.57 | |
Medica
| Facility | $264.51 | $347.96 | $1,035.00 | |
Medica
| Professional | $198.15 | $241.80 | $1,349.26 | |
United
| Professional | $198.15 | $233.14 | $414.14 |