| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $285.00 | $421.80 | $912.00 | |
Aetna
| Professional | $285.00 | $285.00 | $285.00 | |
Cigna
| Facility | $247.00 | $247.00 | $1,015.17 | |
Cigna
| Professional | $463.17 | $463.17 | $554.92 | |
Medica
| Facility | $281.20 | $380.00 | $638.40 | |
Medica
| Professional | $159.60 | $159.60 | $570.00 | |
United
| Facility | $136.80 | $342.00 | $380.00 | |
United
| Professional | $159.60 | $159.60 | $380.00 |