| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.06 | $180.43 | $306.73 | |
Aetna
| Professional | $184.11 | $184.11 | $184.11 | |
Cigna
| Facility | $160.83 | $160.83 | $170.48 | |
Cigna
| Professional | $170.48 | $170.48 | $186.74 | |
Medica
| Facility | $167.06 | $198.47 | $650.26 | |
Medica
| Professional | $167.06 | $167.06 | $488.85 | |
United
| Professional | $170.48 | $170.48 | $170.48 |