| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.94 | $302.94 | $321.12 | |
Aetna
| Professional | $302.94 | $321.12 | $321.12 | |
Cigna
| Facility | $326.48 | $326.48 | $326.48 | |
Cigna
| Professional | $326.48 | $326.48 | $326.48 | |
Medica
| Facility | $270.00 | $313.50 | $1,237.50 | |
Medica
| Professional | $285.24 | $339.28 | $360.30 | |
United
| Professional | $285.24 | $349.80 | $354.30 |