| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $297.43 | $297.43 | $297.43 | |
Aetna
| Professional | $297.43 | $297.43 | $302.93 | |
Cigna
| Facility | $302.39 | $302.39 | $302.39 | |
Cigna
| Professional | $302.39 | $302.39 | $302.39 | |
Medica
| Facility | $297.43 | $312.30 | $1,215.00 | |
Medica
| Professional | $234.97 | $291.86 | $324.00 | |
United
| Facility | $0.02 | $0.02 | $0.02 | |
United
| Professional | $234.97 | $291.86 | $324.00 |