| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $198.02 | $198.02 | $509.18 | |
Aetna
| Professional | $198.02 | $265.91 | $265.91 | |
Cigna
| Professional | $325.44 | $325.44 | $477.77 | |
Medica
| Facility | $99.66 | $203.67 | $509.18 | |
Medica
| Professional | $144.27 | $339.46 | $565.76 | |
United
| Professional | $118.81 | $288.54 | $480.90 |