| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $522.63 | $529.69 | $755.69 | |
Cigna
| Professional | $860.24 | $860.24 | $1,030.66 | |
Medica
| Facility | $522.63 | $665.98 | $1,024.06 | |
Medica
| Professional | $296.63 | $296.63 | $3,517.13 | |
United
| Professional | $296.63 | $296.63 | $706.25 |