| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.55 | $266.22 | $395.18 | |
Cigna
| Facility | $197.11 | $327.62 | $327.62 | |
Cigna
| Professional | $38.27 | $327.62 | $551.25 | |
Medica
| Facility | $100.00 | $350.06 | $1,856.74 | |
Medica
| Professional | $189.29 | $322.73 | $461.04 | |
United
| Professional | $189.29 | $299.68 | $439.08 |