| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $329.43 | $329.43 | $329.43 | |
Aetna
| Professional | $317.23 | $329.43 | $371.40 | |
Cigna
| Facility | $437.50 | $437.50 | $437.50 | |
Cigna
| Professional | $319.38 | $437.50 | $437.50 | |
Medica
| Facility | $333.09 | $453.43 | $3,239.07 | |
Medica
| Professional | $205.90 | $333.07 | $689.06 | |
United
| Professional | $205.90 | $329.44 | $484.53 |