| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $343.44 | $343.44 | $343.44 | |
Aetna
| Professional | $321.18 | $343.44 | $343.44 | |
Cigna
| Facility | $300.00 | $300.00 | $318.00 | |
Cigna
| Professional | $318.00 | $318.00 | $318.00 | |
Medica
| Facility | $343.44 | $360.61 | $1,450.00 | |
Medica
| Professional | $273.51 | $318.00 | $1,994.29 | |
United
| Professional | $305.60 | $318.00 | $350.66 |