| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $285.08 | $285.08 | $420.17 | |
Aetna
| Professional | $274.52 | $285.08 | $321.37 | |
Cigna
| Facility | $380.61 | $380.61 | $380.61 | |
Cigna
| Professional | $277.85 | $277.85 | $698.63 | |
Medica
| Facility | $172.87 | $362.11 | $2,801.35 | |
Medica
| Professional | $178.52 | $287.38 | $596.29 | |
United
| Professional | $178.52 | $267.77 | $384.16 |