| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $269.15 | $398.11 | $501.19 | |
Cigna
| Facility | $275.42 | $275.42 | $707.95 | |
Cigna
| Professional | $204.17 | $275.42 | $891.25 | |
Medica
| Facility | $416.87 | $537.03 | $3,630.78 | |
Medica
| Professional | $245.47 | $407.38 | $562.34 | |
United
| Facility | $33.88 | $295.12 | $660.69 | |
United
| Professional | $302.00 | $416.87 | $562.34 |