| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $234.42 | $234.42 | |
Aetna
| Professional | $144.54 | $181.97 | $239.88 | |
Cigna
| Professional | $147.91 | $181.97 | $218.78 | |
Medica
| Facility | $234.42 | $323.59 | $467.74 | |
Medica
| Professional | $257.04 | $257.04 | $288.40 | |
United
| Professional | $125.89 | $125.89 | $251.19 |