| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.11 | $248.11 | $365.68 | |
Aetna
| Professional | $238.92 | $248.11 | $283.04 | |
Cigna
| Facility | $387.54 | $387.54 | $387.54 | |
Cigna
| Professional | $282.89 | $387.54 | $387.54 | |
Medica
| Facility | $159.11 | $325.30 | $2,619.48 | |
Medica
| Professional | $164.30 | $250.85 | $518.98 | |
United
| Professional | $164.30 | $246.45 | $353.57 |