| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $489.78 | $660.69 | |
Aetna
| Professional | $467.74 | $537.03 | $660.69 | |
Cigna
| Professional | $812.83 | $812.83 | $1,000.00 | |
Medica
| Facility | $416.87 | $537.03 | $1,258.93 | |
Medica
| Professional | $295.12 | $831.76 | $1,412.54 | |
United
| Professional | $295.12 | $707.95 | $1,202.26 |