| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,307.96 | $1,935.78 | $4,185.47 | |
Aetna
| Professional | $1,743.95 | $1,743.95 | $4,185.47 | |
Cigna
| Facility | $1,133.57 | $1,133.57 | $4,658.97 | |
Cigna
| Professional | $2,124.11 | $2,124.11 | $2,544.92 | |
Medica
| Facility | $1,290.52 | $1,700.35 | $2,929.84 | |
Medica
| Professional | $491.32 | $491.32 | $4,392.87 | |
United
| Professional | $491.32 | $491.32 | $871.98 |