| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $195.76 | $195.76 | $195.76 | |
Aetna
| Professional | $195.76 | $223.72 | $223.97 | |
Cigna
| Facility | $335.84 | $335.84 | $335.84 | |
Cigna
| Professional | $245.16 | $245.16 | $601.88 | |
Medica
| Facility | $143.40 | $274.01 | $2,344.02 | |
Medica
| Professional | $148.08 | $293.51 | $461.86 | |
United
| Professional | $148.08 | $222.12 | $334.59 |