| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.26 | $229.26 | $229.26 | |
Aetna
| Professional | $176.53 | $229.26 | $249.36 | |
Cigna
| Professional | $306.00 | $306.00 | $393.02 | |
Medica
| Facility | $142.72 | $298.04 | $393.02 | |
Medica
| Professional | $262.01 | $262.01 | $1,655.67 | |
United
| Professional | $294.76 | $300.00 | $330.00 |