| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $891.25 | $1,318.26 | |
Aetna
| Professional | $204.17 | $251.19 | $380.19 | |
Cigna
| Professional | $288.40 | $436.52 | $602.56 | |
Medica
| Facility | $263.03 | $389.05 | $676.08 | |
Medica
| Professional | $251.19 | $489.78 | $1,548.82 | |
United
| Professional | $234.42 | $446.68 | $691.83 |