| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $223.87 | $223.87 | $236.31 |
Aetna
| Professional | $259.63 | $269.74 | $643.67 | |
Cigna
| Professional | $278.52 | $384.42 | $648.60 | |
Medica
| Facility | 26 | $546.99 | $546.99 | $1,083.21 |
Medica
| Professional | $240.83 | $328.59 | $3,530.08 | |
United
| Professional | $232.13 | $291.23 | $478.76 |