| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.61 | $248.61 | $248.61 | |
Aetna
| Professional | $242.44 | $242.44 | $248.61 | |
Cigna
| Professional | $191.36 | $191.36 | $191.36 | |
Medica
| Facility | $236.96 | $261.04 | $1,267.32 | |
Medica
| Professional | $173.14 | $227.42 | $301.39 | |
United
| Professional | $166.88 | $227.42 | $301.39 |