| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $1,230.27 | $1,380.38 | |
Aetna
| Professional | $467.74 | $602.56 | $707.95 | |
Cigna
| Professional | $831.76 | $831.76 | $831.76 | |
Medica
| Facility | $616.60 | $851.14 | $3,388.44 | |
Medica
| Professional | $295.12 | $426.58 | $3,548.13 | |
United
| Facility | $295.12 | $707.95 | $851.14 | |
United
| Professional | $295.12 | $426.58 | $758.58 |