| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $364.87 | $364.87 | $537.77 | |
Aetna
| Professional | $351.36 | $364.87 | $463.46 | |
Cigna
| Facility | $499.17 | $499.17 | $499.17 | |
Cigna
| Professional | $364.39 | $499.17 | $499.17 | |
Medica
| Facility | $248.53 | $478.38 | $4,299.75 | |
Medica
| Professional | $256.64 | $384.97 | $763.20 | |
United
| Professional | $256.64 | $381.53 | $574.89 |