| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $380.19 | $891.25 | |
Aetna
| Professional | $70.79 | $223.87 | $309.03 | |
Cigna
| Professional | $346.74 | $346.74 | $346.74 | |
Medica
| Facility | $100.00 | $281.84 | $380.19 | |
United
| Facility | $275.42 | $275.42 | $295.12 |