| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.98 | $388.98 | $388.98 | |
Aetna
| Professional | $263.81 | $388.98 | $486.23 | |
Cigna
| Facility | $316.74 | $316.74 | $575.70 | |
Cigna
| Professional | $52.19 | $316.74 | $791.25 | |
Medica
| Facility | $68.41 | $408.43 | $3,536.46 | |
Medica
| Professional | $176.84 | $269.50 | $551.12 | |
United
| Professional | $217.20 | $269.50 | $551.12 |