| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.77 | $181.77 | $181.77 | |
Aetna
| Professional | $135.55 | $163.98 | $218.91 | |
Cigna
| Professional | $174.75 | $176.50 | $221.93 | |
Medica
| Facility | $148.49 | $181.77 | $309.01 | |
Medica
| Professional | $185.86 | $339.37 | $1,105.55 | |
United
| Professional | $185.86 | $328.97 | $452.61 |