| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $236.41 | $236.41 | $607.91 | |
Aetna
| Professional | $236.41 | $317.47 | $317.47 | |
Cigna
| Professional | $388.22 | $388.22 | $569.91 | |
Medica
| Facility | $66.48 | $243.17 | $607.91 | |
Medica
| Professional | $66.43 | $162.81 | $675.46 | |
United
| Professional | $66.43 | $202.64 | $648.78 |