| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $231.70 | $231.70 | $595.79 | |
Aetna
| Professional | $231.70 | $311.14 | $311.14 | |
Cigna
| Professional | $380.37 | $380.37 | $558.41 | |
Medica
| Facility | $85.00 | $238.32 | $595.79 | |
Medica
| Professional | $94.67 | $232.03 | $662.00 | |
United
| Professional | $94.67 | $331.00 | $509.08 |