| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $292.58 | $292.58 | $292.58 | |
Aetna
| Professional | $292.58 | $310.62 | $334.39 | |
Cigna
| Facility | $364.44 | $364.44 | $364.44 | |
Cigna
| Professional | $266.04 | $364.44 | $364.44 | |
Medica
| Facility | $166.57 | $409.57 | $2,756.24 | |
Medica
| Professional | $172.01 | $340.95 | $665.95 | |
United
| Professional | $172.01 | $307.48 | $388.75 |