| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $204.17 | $204.17 | |
Aetna
| Professional | $181.97 | $229.09 | $354.81 | |
Cigna
| Facility | $251.19 | $251.19 | $251.19 | |
Cigna
| Professional | $181.97 | $181.97 | $467.74 | |
Medica
| Facility | $194.98 | $275.42 | $1,348.96 | |
Medica
| Professional | $128.82 | $204.17 | $524.81 | |
United
| Facility | $190.55 | $436.52 | $446.68 | |
United
| Professional | $128.82 | $190.55 | $275.42 |