| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $329.43 | $329.43 | $485.53 | |
Aetna
| Professional | $317.23 | $329.43 | $371.40 | |
Cigna
| Facility | $386.84 | $386.84 | $386.84 | |
Cigna
| Professional | $282.39 | $386.83 | $386.84 | |
Medica
| Facility | $199.39 | $424.23 | $3,239.07 | |
Medica
| Professional | $205.90 | $332.08 | $689.06 | |
United
| Professional | $205.90 | $308.85 | $443.08 |