| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $486.54 | $608.16 | $1,459.61 | |
Aetna
| Professional | $456.13 | $456.13 | $486.54 | |
Cigna
| Facility | $395.31 | $395.31 | $533.66 | |
Cigna
| Professional | $740.72 | $740.72 | $887.47 | |
Medica
| Facility | $456.13 | $608.16 | $1,021.73 | |
Medica
| Professional | $255.43 | $255.43 | $2,283.82 | |
United
| Professional | $255.43 | $255.43 | $608.16 |