| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,059.71 | $2,574.65 | $6,179.16 | |
Aetna
| Professional | $1,930.99 | $1,930.99 | $2,059.71 | |
Cigna
| Facility | $1,673.52 | $1,673.52 | $2,259.25 | |
Cigna
| Professional | $3,135.82 | $3,135.82 | $3,757.07 | |
Medica
| Facility | $1,930.99 | $2,265.69 | $4,325.41 | |
Medica
| Professional | $1,081.34 | $1,081.34 | $3,218.31 | |
United
| Professional | $1,081.34 | $1,081.34 | $1,647.78 |