| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $593.82 | $742.27 | $1,781.45 | |
Aetna
| Professional | $556.70 | $556.70 | $593.82 | |
Cigna
| Facility | $482.48 | $482.48 | $651.35 | |
Cigna
| Professional | $904.45 | $904.45 | $1,083.64 | |
Medica
| Facility | $556.70 | $653.20 | $1,247.01 | |
Medica
| Professional | $311.75 | $311.75 | $1,195.05 | |
United
| Professional | $311.75 | $311.75 | $475.05 |