| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $556.23 | $823.22 | $1,779.94 | |
Aetna
| Professional | $548.80 | $548.80 | $556.23 | |
Cigna
| Professional | $903.58 | $903.58 | $1,082.58 | |
Medica
| Facility | $548.80 | $741.64 | $1,245.96 | |
Medica
| Professional | $311.49 | $311.49 | $1,112.46 | |
United
| Professional | $311.49 | $311.49 | $741.64 |