| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $238.98 | $238.98 | $287.22 | |
Cigna
| Facility | $180.13 | $180.13 | $180.13 | |
Cigna
| Professional | $153.11 | $180.13 | $180.13 | |
Medica
| Facility | $193.01 | $238.98 | $265.20 | |
Medica
| Professional | $557.50 | $557.50 | $557.50 |