| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.00 | $140.00 | $360.00 | |
Aetna
| Professional | $140.00 | $188.00 | $188.00 | |
Cigna
| Professional | $229.63 | $229.63 | $337.10 | |
Medica
| Facility | $120.00 | $152.00 | $428.21 | |
Medica
| Professional | $102.00 | $240.00 | $400.00 | |
United
| Professional | $84.00 | $204.00 | $340.00 |