| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $452.03 | $669.00 | $1,446.48 | |
Aetna
| Professional | $446.00 | $446.00 | $452.03 | |
Cigna
| Facility | $391.76 | $391.76 | $1,610.13 | |
Cigna
| Professional | $734.16 | $734.16 | $879.60 | |
Medica
| Facility | $446.00 | $602.70 | $1,012.54 | |
Medica
| Professional | $253.13 | $253.13 | $2,263.28 | |
United
| Professional | $253.13 | $253.13 | $385.73 |