| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $245.47 | $331.13 | |
Aetna
| Professional | $234.42 | $263.03 | $331.13 | |
Cigna
| Professional | $398.11 | $398.11 | $501.19 | |
Medica
| Facility | $208.93 | $263.03 | $630.96 | |
Medica
| Professional | $147.91 | $416.87 | $691.83 | |
United
| Professional | $147.91 | $354.81 | $588.84 |