| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.30 | $338.30 | $498.62 | |
Aetna
| Professional | $325.77 | $325.77 | $338.30 | |
Cigna
| Facility | $347.13 | $347.13 | $347.13 | |
Cigna
| Professional | $253.40 | $347.13 | $347.13 | |
Medica
| Facility | $172.83 | $443.55 | $2,901.23 | |
Medica
| Professional | $178.47 | $326.45 | $698.70 | |
United
| Professional | $178.47 | $267.70 | $384.06 |