| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $333.25 | $333.25 | $749.81 | |
Aetna
| Professional | $333.25 | $416.56 | $416.56 | |
Cigna
| Professional | $375.00 | $375.00 | $468.75 | |
Medica
| Facility | $231.93 | $416.56 | $566.53 | |
Medica
| Professional | $357.54 | $357.54 | $388.31 | |
United
| Professional | $303.91 | $357.54 | $388.31 |