| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $532.50 | $788.10 | $1,704.00 | |
Aetna
| Professional | $525.40 | $525.40 | $532.50 | |
Cigna
| Professional | $865.05 | $865.05 | $1,036.43 | |
Medica
| Facility | $525.40 | $710.00 | $1,192.80 | |
Medica
| Professional | $298.20 | $298.20 | $1,065.00 | |
United
| Professional | $298.20 | $298.20 | $710.00 |