| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $604.66 | $604.66 | $604.66 | |
Cigna
| Professional | $512.07 | $640.08 | $880.98 | |
Medica
| Facility | $368.29 | $619.65 | $1,671.02 | |
Medica
| Professional | $368.47 | $681.26 | $2,343.00 | |
United
| Professional | $352.88 | $566.90 | $859.20 |