| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $588.84 | $851.14 | |
Aetna
| Professional | $501.19 | $549.54 | $812.83 | |
Cigna
| Professional | $870.96 | $870.96 | $1,047.13 | |
Medica
| Facility | $524.81 | $707.95 | $1,230.27 | |
Medica
| Professional | $295.12 | $295.12 | $2,691.53 | |
United
| Facility | $707.95 | $707.95 | $851.14 | |
United
| Professional | $295.12 | $295.12 | $426.58 |