| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $525.41 | $777.62 | $1,681.34 | |
Aetna
| Professional | $518.41 | $518.41 | $525.41 | |
Cigna
| Professional | $853.23 | $853.23 | $1,022.27 | |
Medica
| Facility | $518.41 | $700.56 | $1,176.94 | |
Medica
| Professional | $294.24 | $294.24 | $1,050.83 | |
United
| Professional | $294.24 | $294.24 | $448.36 |