| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $496.94 | $662.58 | $1,590.19 | |
Aetna
| Professional | $490.31 | $490.31 | $496.94 | |
Cigna
| Facility | $430.68 | $430.68 | $581.41 | |
Cigna
| Professional | $761.16 | $761.16 | $951.45 | |
Medica
| Facility | $443.93 | $543.32 | $2,219.64 | |
Medica
| Professional | $278.27 | $278.27 | $662.58 | |
United
| Professional | $278.27 | $278.27 | $397.55 |