| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.50 | $750.00 | $1,800.00 | |
Aetna
| Professional | $555.00 | $555.00 | $562.50 | |
Cigna
| Facility | $487.50 | $487.50 | $2,003.63 | |
Cigna
| Professional | $861.93 | $861.93 | $1,077.41 | |
Medica
| Facility | $450.00 | $600.00 | $2,512.50 | |
Medica
| Professional | $315.00 | $315.00 | $750.00 | |
United
| Professional | $315.00 | $315.00 | $450.00 |