| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.44 | $375.25 | $900.60 | |
Aetna
| Professional | $277.69 | $277.69 | $401.52 | |
Cigna
| Facility | $243.91 | $243.91 | $1,002.47 | |
Cigna
| Professional | $151.80 | $276.14 | $547.59 | |
Medica
| Facility | $277.69 | $375.25 | $630.41 | |
Medica
| Professional | $157.61 | $157.61 | $562.88 | |
United
| Professional | $157.61 | $157.61 | $375.25 |