| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.58 | $129.58 | $333.22 | |
Aetna
| Professional | $129.58 | $174.01 | $174.01 | |
Cigna
| Professional | $212.70 | $212.70 | $312.25 | |
Medica
| Facility | $111.07 | $140.69 | $1,048.23 | |
Medica
| Professional | $94.41 | $222.14 | $370.24 | |
United
| Professional | $77.75 | $219.84 | $314.70 |