| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.00 | $831.57 | $831.57 | |
Aetna
| Professional | $279.47 | $831.57 | $1,217.90 | |
Cigna
| Facility | $334.42 | $334.42 | $334.42 | |
Cigna
| Professional | $694.91 | $694.91 | $1,013.41 | |
Medica
| Facility | $63.00 | $856.18 | $1,535.09 | |
Medica
| Professional | $950.55 | $1,571.55 | $2,417.05 | |
United
| Professional | $950.55 | $1,758.09 | $2,417.05 |