| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.12 | $223.87 | $575.44 | |
Aetna
| Professional | $194.98 | $223.87 | $309.03 | |
Cigna
| Professional | $346.74 | $346.74 | $346.74 | |
Medica
| Facility | $223.87 | $331.13 | $912.01 | |
United
| Facility | $275.42 | $275.42 | $1,096.48 |