| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $216.92 | $216.92 | $216.92 | |
Aetna
| Professional | $216.91 | $216.92 | $238.61 | |
Cigna
| Professional | $213.00 | $215.13 | $266.25 | |
Medica
| Facility | $199.41 | $216.92 | $650.76 | |
Medica
| Professional | $237.90 | $240.96 | $255.20 | |
United
| Professional | $219.05 | $240.96 | $247.53 |