| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,136.26 | $2,136.26 | $2,136.26 | |
Cigna
| Professional | $6,029.54 | $6,029.54 | $7,224.08 | |
Medica
| Facility | $1,739.00 | $2,291.25 | $7,177.50 | |
Medica
| Professional | $1,055.57 | $1,507.95 | $24,651.00 | |
United
| Professional | $1,055.57 | $1,055.57 | $4,950.00 |