| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $286.89 | $286.89 | $286.89 | |
Aetna
| Professional | $286.89 | $301.19 | $327.87 | |
Cigna
| Facility | $344.22 | $344.22 | $344.22 | |
Cigna
| Professional | $251.28 | $344.22 | $344.22 | |
Medica
| Facility | $161.51 | $401.59 | $2,561.73 | |
Medica
| Professional | $166.79 | $330.60 | $652.97 | |
United
| Professional | $166.79 | $301.49 | $376.95 |