| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.99 | $183.99 | $183.99 | |
Aetna
| Professional | $179.43 | $179.43 | $183.99 | |
Cigna
| Professional | $141.60 | $141.60 | $141.60 | |
Medica
| Facility | $175.36 | $193.19 | $938.08 | |
Medica
| Professional | $114.74 | $145.69 | $193.08 | |
United
| Professional | $114.74 | $145.15 | $228.10 |