| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $267.50 | $441.00 | $551.25 | |
Cigna
| Facility | $232.12 | $232.12 | $232.12 | |
Cigna
| Professional | $59.95 | $232.12 | $911.25 | |
Medica
| Facility | $57.47 | $335.27 | $3,918.77 | |
Medica
| Professional | $244.98 | $367.25 | $581.00 | |
United
| Professional | $270.54 | $367.25 | $528.79 |