| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.94 | $192.94 | $192.94 | |
Aetna
| Professional | $192.94 | $220.51 | $222.58 | |
Cigna
| Facility | $318.35 | $318.35 | $318.35 | |
Cigna
| Professional | $232.40 | $318.35 | $318.35 | |
Medica
| Facility | $128.69 | $270.08 | $2,083.02 | |
Medica
| Professional | $132.90 | $263.43 | $455.21 | |
United
| Professional | $149.56 | $214.34 | $300.30 |