| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $575.44 | $831.76 | |
Aetna
| Professional | $489.78 | $549.54 | $812.83 | |
Cigna
| Professional | $851.14 | $851.14 | $1,023.29 | |
Medica
| Facility | $512.86 | $707.95 | $1,230.27 | |
Medica
| Professional | $295.12 | $295.12 | $2,630.27 | |
United
| Facility | $707.95 | $707.95 | $831.76 | |
United
| Professional | $295.12 | $295.12 | $416.87 |