| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $634.70 | $846.27 | $2,031.05 | |
Aetna
| Professional | $626.24 | $626.24 | $905.51 | |
Cigna
| Facility | $550.08 | $550.08 | $2,260.83 | |
Cigna
| Professional | $1,030.53 | $1,030.53 | $1,234.70 | |
Medica
| Facility | $626.24 | $846.27 | $1,421.73 | |
Medica
| Professional | $355.43 | $355.43 | $3,177.94 | |
United
| Professional | $355.43 | $355.43 | $846.27 |