| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $333.42 | $416.78 | $1,000.27 | |
Aetna
| Professional | $312.58 | $312.58 | $445.95 | |
Cigna
| Facility | $270.91 | $270.91 | $365.73 | |
Cigna
| Professional | $507.39 | $507.39 | $607.91 | |
Medica
| Facility | $312.58 | $366.76 | $700.19 | |
Medica
| Professional | $175.05 | $175.05 | $520.98 | |
United
| Professional | $175.05 | $175.05 | $416.78 |