| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $578.99 | $856.91 | $1,852.75 | |
Aetna
| Professional | $571.27 | $571.27 | $578.99 | |
Cigna
| Facility | $501.79 | $507.39 | $999.00 | |
Cigna
| Professional | $887.12 | $887.12 | $1,108.91 | |
Medica
| Facility | $463.18 | $625.29 | $2,586.13 | |
Medica
| Professional | $324.23 | $324.23 | $771.98 | |
United
| Professional | $324.23 | $324.23 | $463.19 |