| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $273.54 | $273.54 | $517.11 | |
Aetna
| Professional | $202.93 | $227.95 | $517.11 | |
Cigna
| Professional | $218.90 | $276.70 | $421.63 | |
Medica
| Facility | $202.93 | $266.83 | $517.11 | |
Medica
| Professional | $234.95 | $318.86 | $1,392.79 | |
United
| Professional | $231.46 | $295.06 | $437.59 |