| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $281.01 | $363.48 | $454.35 | |
Cigna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $170.00 | $200.00 | $686.25 | |
Medica
| Facility | $281.01 | $477.07 | $3,516.99 | |
Medica
| Professional | $304.14 | $470.50 | $698.13 | |
United
| Professional | $358.55 | $470.50 | $698.13 |