| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $507.87 | $634.84 | $1,523.62 | |
Aetna
| Professional | $476.13 | $476.13 | $507.87 | |
Cigna
| Facility | $412.65 | $412.65 | $557.08 | |
Cigna
| Professional | $773.56 | $773.56 | $926.81 | |
Medica
| Facility | $476.13 | $634.84 | $1,066.53 | |
Medica
| Professional | $266.63 | $266.63 | $837.99 | |
United
| Professional | $266.63 | $266.63 | $406.30 |