| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $354.81 | $676.08 | |
Aetna
| Professional | $64.57 | $281.84 | $446.68 | |
Cigna
| Professional | $426.58 | $426.58 | $537.03 | |
Medica
| Facility | $83.18 | $269.15 | $676.08 | |
Medica
| Professional | $47.86 | $158.49 | $758.58 | |
United
| Professional | $47.86 | $158.49 | $630.96 |