| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $267.19 | $267.19 | $687.06 | |
Aetna
| Professional | $267.19 | $324.45 | $600.00 | |
Cigna
| Professional | $438.61 | $438.61 | $643.89 | |
Medica
| Facility | $229.02 | $290.08 | $687.06 | |
Medica
| Professional | $77.80 | $190.68 | $763.40 | |
United
| Professional | $77.80 | $381.70 | $587.04 |