| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.97 | $242.28 | $302.85 | |
Cigna
| Facility | $332.93 | $332.93 | $461.87 | |
Cigna
| Professional | $35.75 | $332.93 | $525.00 | |
Medica
| Facility | $100.00 | $317.99 | $1,865.59 | |
Medica
| Professional | $169.60 | $281.10 | $401.57 | |
United
| Professional | $180.71 | $283.45 | $382.45 |