| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $851.14 | $2,511.89 | |
Aetna
| Professional | $562.34 | $660.69 | $977.24 | |
Cigna
| Facility | $549.54 | $549.54 | $2,238.72 | |
Cigna
| Professional | $1,023.29 | $1,023.29 | $1,230.27 | |
Medica
| Facility | $630.96 | $851.14 | $1,479.11 | |
Medica
| Professional | $354.81 | $354.81 | $3,162.28 | |
United
| Facility | $354.81 | $851.14 | $1,023.29 | |
United
| Professional | $354.81 | $354.81 | $562.34 |