| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $353.50 | $353.50 | $353.50 | |
Aetna
| Professional | $296.10 | $312.08 | $358.08 | |
Cigna
| Professional | $558.75 | $564.34 | $698.44 | |
Medica
| Facility | $70.26 | $349.75 | $379.76 | |
Medica
| Professional | $20.20 | $24.24 | $1,290.08 | |
United
| Professional | $15.45 | $23.17 | $1,290.08 |