| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $153.37 | $263.05 | $328.82 | |
Cigna
| Facility | $307.55 | $307.55 | $488.47 | |
Cigna
| Professional | $261.42 | $307.55 | $725.63 | |
Medica
| Facility | $137.07 | $322.52 | $2,352.03 | |
Medica
| Professional | $143.93 | $239.36 | $333.18 | |
United
| Professional | $176.94 | $238.66 | $332.63 |