| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $616.60 | $891.25 | |
Aetna
| Professional | $524.81 | $575.44 | $812.83 | |
Cigna
| Professional | $912.01 | $912.01 | $1,071.52 | |
Medica
| Facility | $549.54 | $741.31 | $1,288.25 | |
Medica
| Professional | $309.03 | $309.03 | $2,754.23 | |
United
| Facility | $741.31 | $741.31 | $891.25 | |
United
| Professional | $309.03 | $309.03 | $446.68 |