| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.58 | $640.73 | $1,537.75 | |
Aetna
| Professional | $480.55 | $480.55 | $512.58 | |
Cigna
| Facility | $416.47 | $416.47 | $562.23 | |
Cigna
| Professional | $668.63 | $668.63 | $835.78 | |
Medica
| Facility | $429.29 | $531.80 | $1,633.86 | |
Medica
| Professional | $269.11 | $269.11 | $640.73 | |
United
| Professional | $269.11 | $269.11 | $410.07 |