| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $507.28 | $750.77 | $1,623.29 | |
Aetna
| Professional | $574.91 | $574.91 | $1,623.29 | |
Cigna
| Facility | $439.64 | $439.64 | $1,806.92 | |
Cigna
| Professional | $823.90 | $823.90 | $987.13 | |
Medica
| Facility | $500.51 | $676.37 | $1,136.30 | |
Medica
| Professional | $284.08 | $284.08 | $1,014.56 | |
United
| Professional | $284.08 | $284.08 | $432.88 |