| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.21 | $194.98 | $549.54 | |
Aetna
| Professional | $151.36 | $194.98 | $263.03 | |
Cigna
| Professional | $218.78 | $371.54 | $588.84 | |
Medica
| Facility | $128.82 | $257.04 | $426.58 | |
Medica
| Professional | $186.21 | $380.19 | $1,202.26 | |
United
| Professional | $177.83 | $338.84 | $588.84 |