| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $191.72 | $328.85 | $411.07 | |
Cigna
| Facility | $353.90 | $353.90 | $610.66 | |
Cigna
| Professional | $300.82 | $353.90 | $907.03 | |
Medica
| Facility | $171.35 | $403.18 | $2,940.40 | |
Medica
| Professional | $179.92 | $299.23 | $416.52 | |
United
| Professional | $179.92 | $282.23 | $415.81 |