| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.68 | $141.68 | $364.32 | |
Aetna
| Professional | $141.68 | $190.26 | $190.26 | |
Cigna
| Professional | $232.52 | $232.52 | $341.35 | |
Medica
| Facility | $121.44 | $153.82 | $387.29 | |
Medica
| Professional | $97.78 | $239.65 | $404.80 | |
United
| Professional | $85.01 | $227.68 | $344.08 |