| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $327.60 | $327.60 | $842.40 | |
Aetna
| Professional | $327.60 | $439.92 | $1,500.00 | |
Cigna
| Professional | $537.73 | $537.73 | $789.41 | |
Medica
| Facility | $280.80 | $355.68 | $842.40 | |
Medica
| Professional | $238.68 | $561.60 | $936.00 | |
United
| Professional | $196.56 | $477.36 | $795.60 |