| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.00 | $600.00 | $1,440.00 | |
Aetna
| Professional | $444.00 | $444.00 | $642.00 | |
Cigna
| Facility | $390.00 | $390.00 | $1,602.90 | |
Cigna
| Professional | $731.09 | $731.09 | $875.93 | |
Medica
| Facility | $444.00 | $585.00 | $1,008.00 | |
Medica
| Professional | $126.57 | $126.57 | $900.00 | |
United
| Professional | $126.57 | $126.57 | $300.00 |