| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $413.05 | $413.05 | $413.05 | |
Aetna
| Professional | $203.59 | $302.62 | $413.05 | |
Cigna
| Professional | $359.63 | $501.47 | $630.55 | |
Medica
| Facility | $256.86 | $528.86 | $780.61 | |
Medica
| Professional | $234.71 | $283.23 | $3,418.79 | |
United
| Professional | $174.16 | $234.71 | $476.46 |