| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $522.40 | $522.40 | $982.06 | |
Aetna
| Professional | $373.22 | $595.57 | $668.97 | |
Cigna
| Facility | $683.13 | $683.13 | $683.13 | |
Medica
| Facility | $522.40 | $548.52 | $4,532.39 | |
Medica
| Professional | $558.00 | $701.74 | $4,140.28 | |
United
| Professional | $525.17 | $656.47 | $997.51 |