| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.26 | $870.26 | $10,000.00 | |
Aetna
| Professional | $870.26 | $870.26 | $1,403.41 | |
Cigna
| Professional | $326.25 | $407.81 | $2,422.96 | |
Medica
| Facility | $557.88 | $870.26 | $2,736.51 | |
Medica
| Professional | $1,373.93 | $2,450.44 | $3,372.05 | |
United
| Professional | $1,514.80 | $2,609.98 | $3,372.05 |