| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $712.50 | $950.00 | $2,280.00 | |
Aetna
| Professional | $703.00 | $703.00 | $712.50 | |
Cigna
| Facility | $617.50 | $624.39 | $1,229.35 | |
Cigna
| Professional | $1,091.56 | $1,091.56 | $1,364.45 | |
Medica
| Facility | $632.70 | $788.50 | $2,422.50 | |
Medica
| Professional | $399.00 | $399.00 | $950.00 | |
United
| Professional | $399.00 | $399.00 | $617.50 |