| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $250.44 | $250.44 | $419.49 | |
Aetna
| Professional | $246.76 | $254.47 | $561.74 | |
Cigna
| Facility | $358.29 | $358.29 | $358.29 | |
Cigna
| Professional | $358.29 | $358.29 | $358.29 | |
Medica
| Facility | $246.76 | $285.50 | $837.30 | |
Medica
| Professional | $574.35 | $676.80 | $749.89 | |
United
| Professional | $676.80 | $676.80 | $725.27 |