| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,576.00 | $7,500.00 | |
Aetna
| Professional | $520.78 | $520.78 | $529.67 | |
Cigna
| Professional | $479.09 | $630.27 | $760.51 | |
Medica
| Facility | $520.78 | $773.00 | $4,193.63 | |
Medica
| Professional | $437.19 | $611.91 | $3,428.32 | |
United
| Facility | $575.00 | $1,760.00 | $3,790.62 | |
United
| Professional | $403.19 | $535.45 | $819.59 |