| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,454.71 | $6,606.93 | |
Aetna
| Professional | $331.13 | $398.11 | $676.08 | |
Cigna
| Professional | $371.54 | $478.63 | $588.84 | |
Medica
| Facility | $371.54 | $1,047.13 | $4,466.84 | |
Medica
| Professional | $316.23 | $426.58 | $2,630.27 | |
United
| Facility | $371.54 | $1,348.96 | $2,754.23 | |
United
| Professional | $302.00 | $389.05 | $562.34 |