| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $556.70 | $823.92 | $1,781.45 | |
Aetna
| Professional | $549.28 | $549.28 | $556.70 | |
Cigna
| Facility | $482.48 | $482.48 | $651.35 | |
Cigna
| Professional | $904.45 | $904.45 | $1,083.64 | |
Medica
| Facility | $549.28 | $742.27 | $1,247.01 | |
Medica
| Professional | $311.75 | $311.75 | $1,113.41 | |
United
| Professional | $311.75 | $311.75 | $475.05 |