| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $305.87 | $305.87 | $318.00 | |
Aetna
| Professional | $305.87 | $318.00 | $323.88 | |
Cigna
| Facility | $323.87 | $323.87 | $323.87 | |
Cigna
| Professional | $150.00 | $323.87 | $323.87 | |
Medica
| Facility | $269.32 | $321.16 | $1,213.43 | |
Medica
| Professional | $264.25 | $328.23 | $333.79 | |
United
| Professional | $274.70 | $341.22 | $347.00 |