| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $561.29 | $830.72 | $1,796.14 | |
Aetna
| Professional | $553.80 | $553.80 | $561.29 | |
Cigna
| Facility | $486.45 | $486.45 | $1,999.31 | |
Cigna
| Professional | $911.90 | $911.90 | $1,092.55 | |
Medica
| Facility | $553.80 | $748.39 | $1,257.30 | |
Medica
| Professional | $314.32 | $314.32 | $1,122.58 | |
United
| Professional | $314.32 | $314.32 | $478.97 |