| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $570.00 | $760.00 | $1,824.00 | |
Aetna
| Professional | $562.40 | $562.40 | $813.20 | |
Cigna
| Facility | $494.00 | $494.00 | $2,030.34 | |
Cigna
| Professional | $925.90 | $925.90 | $1,109.33 | |
Medica
| Facility | $562.40 | $760.00 | $1,276.80 | |
Medica
| Professional | $319.20 | $319.20 | $1,140.00 | |
United
| Professional | $319.20 | $319.20 | $760.00 |