| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $570.00 | $760.00 | $1,824.00 | |
Aetna
| Professional | $562.40 | $562.40 | $570.00 | |
Cigna
| Facility | $494.00 | $499.52 | $983.49 | |
Cigna
| Professional | $873.50 | $873.50 | $1,091.86 | |
Medica
| Facility | $506.16 | $630.79 | $1,938.00 | |
Medica
| Professional | $319.20 | $319.20 | $760.00 | |
United
| Facility | $273.60 | $760.00 | $912.00 | |
United
| Professional | $319.20 | $319.20 | $456.00 |