| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.54 | $371.54 | $371.54 | |
Aetna
| Professional | $316.23 | $323.59 | $398.11 | |
Cigna
| Facility | $169.82 | $302.00 | $316.23 | |
Cigna
| Professional | $316.23 | $316.23 | $316.23 | |
Medica
| Facility | $316.23 | $446.68 | $1,445.44 | |
Medica
| Professional | $275.42 | $316.23 | $1,995.26 | |
United
| Facility | $275.42 | $1,230.27 | $1,445.44 | |
United
| Professional | $125.89 | $275.42 | $1,445.44 |