| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.26 | $169.85 | $279.72 | |
Aetna
| Professional | $360.36 | $634.40 | $1,559.20 | |
Cigna
| Facility | $125.10 | $241.75 | $339.34 | |
Medica
| Facility | $235.00 | $277.45 | $567.76 | |
Medica
| Professional | $960.00 | $960.00 | $960.00 |