| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $339.62 | $339.62 | $500.56 | |
Aetna
| Professional | $327.04 | $339.62 | $431.39 | |
Cigna
| Facility | $512.80 | $512.80 | $512.80 | |
Cigna
| Professional | $374.35 | $512.80 | $512.80 | |
Medica
| Facility | $231.33 | $445.28 | $3,769.74 | |
Medica
| Professional | $238.89 | $358.33 | $710.39 | |
United
| Professional | $238.89 | $343.37 | $514.07 |