| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $351.25 | $519.84 | $1,123.99 | |
Aetna
| Professional | $346.56 | $346.56 | $351.25 | |
Cigna
| Facility | $304.41 | $304.41 | $1,251.13 | |
Cigna
| Professional | $570.42 | $570.42 | $683.44 | |
Medica
| Facility | $346.56 | $468.33 | $786.79 | |
Medica
| Professional | $196.70 | $196.70 | $702.50 | |
United
| Professional | $196.70 | $196.70 | $299.73 |