| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.58 | $177.58 | $604.16 | |
Aetna
| Professional | $177.58 | $177.58 | $180.86 | |
Cigna
| Facility | $219.62 | $219.62 | $219.62 | |
Cigna
| Professional | $185.96 | $219.62 | $219.62 | |
Medica
| Facility | $134.12 | $186.46 | $253.94 | |
Medica
| Professional | $156.19 | $194.02 | $224.00 | |
United
| Professional | $156.19 | $194.02 | $235.16 |