| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $390.00 | $520.00 | $1,248.00 | |
Aetna
| Professional | $384.80 | $384.80 | $556.40 | |
Cigna
| Facility | $338.00 | $338.00 | $456.30 | |
Cigna
| Professional | $231.72 | $633.47 | $758.97 | |
Medica
| Facility | $384.80 | $520.00 | $873.60 | |
Medica
| Professional | $218.40 | $218.40 | $780.00 | |
United
| Professional | $218.40 | $218.40 | $332.80 |