| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.81 | $217.81 | $321.02 | |
Aetna
| Professional | $207.50 | $209.74 | $217.81 | |
Cigna
| Facility | $215.87 | $215.87 | $215.87 | |
Cigna
| Professional | $157.59 | $215.87 | $215.87 | |
Medica
| Facility | $111.27 | $285.57 | $1,848.60 | |
Medica
| Professional | $114.90 | $214.18 | $449.84 | |
United
| Professional | $114.90 | $172.36 | $247.27 |