| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.83 | $164.91 | $206.14 | |
Cigna
| Facility | $244.43 | $244.43 | $291.14 | |
Cigna
| Professional | $178.43 | $207.77 | $358.88 | |
Medica
| Facility | $194.59 | $224.97 | $1,550.44 | |
Medica
| Professional | $108.59 | $168.92 | $241.36 | |
United
| Professional | $127.03 | $152.44 | $241.32 |