| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $297.32 | $297.32 | $668.97 | |
Aetna
| Professional | $297.32 | $308.47 | $371.65 | |
Cigna
| Professional | $321.72 | $327.75 | $409.69 | |
Medica
| Facility | $227.45 | $297.32 | $371.65 | |
Medica
| Professional | $309.70 | $349.97 | $1,255.67 | |
United
| Professional | $309.70 | $309.70 | $374.44 |