| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,179.68 | $5,224.60 | $12,539.00 | |
Aetna
| Professional | $3,918.45 | $3,918.45 | $4,179.68 | |
Cigna
| Facility | $3,395.99 | $3,395.99 | $4,584.59 | |
Cigna
| Professional | $6,364.01 | $6,364.01 | $7,624.80 | |
Medica
| Facility | $3,918.45 | $4,597.64 | $8,777.33 | |
Medica
| Professional | $2,194.33 | $2,194.33 | $6,530.75 | |
United
| Professional | $2,194.33 | $2,194.33 | $3,343.74 |