| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $190.55 | $190.55 | |
Aetna
| Professional | $79.43 | $154.88 | $194.98 | |
Cigna
| Professional | $91.20 | $251.19 | $316.23 | |
Medica
| Facility | $177.83 | $234.42 | $416.87 | |
Medica
| Professional | $77.62 | $114.82 | $181.97 | |
United
| Facility | $239.88 | $239.88 | $239.88 | |
United
| Professional | $77.62 | $112.20 | $144.54 |