| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.18 | $450.91 | $1,082.18 | |
Aetna
| Professional | $333.67 | $333.67 | $482.47 | |
Cigna
| Facility | $293.08 | $293.08 | $1,204.59 | |
Cigna
| Professional | $549.41 | $549.41 | $658.26 | |
Medica
| Facility | $333.67 | $450.91 | $757.53 | |
Medica
| Professional | $189.38 | $189.38 | $676.37 | |
United
| Professional | $189.38 | $189.38 | $288.58 |