| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $416.87 | $794.33 | |
Aetna
| Professional | $123.03 | $331.13 | $524.81 | |
Cigna
| Professional | $501.19 | $501.19 | $630.96 | |
Medica
| Facility | $158.49 | $316.23 | $794.33 | |
Medica
| Professional | $91.20 | $208.93 | $870.96 | |
United
| Professional | $91.20 | $223.87 | $741.31 |