| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.42 | $316.23 | $602.56 | |
Aetna
| Professional | $89.13 | $257.04 | $407.38 | |
Cigna
| Professional | $389.05 | $389.05 | $489.78 | |
Medica
| Facility | $66.07 | $245.47 | $602.56 | |
Medica
| Professional | $66.07 | $154.88 | $676.08 | |
United
| Professional | $66.07 | $162.18 | $575.44 |