| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.96 | $190.55 | $223.87 | |
Aetna
| Professional | $144.54 | $190.55 | $302.00 | |
Cigna
| Professional | $169.82 | $234.42 | $331.13 | |
Medica
| Facility | $181.97 | $257.04 | $446.68 | |
Medica
| Professional | $194.98 | $380.19 | $1,348.96 | |
United
| Professional | $165.96 | $288.40 | $478.63 |