| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $472.78 | $472.78 | $1,215.72 | |
Aetna
| Professional | $472.78 | $634.88 | $1,013.09 | |
Cigna
| Professional | $776.03 | $776.03 | $1,139.24 | |
Medica
| Facility | $405.24 | $513.29 | $1,215.72 | |
Medica
| Professional | $331.39 | $810.48 | $1,350.80 | |
United
| Professional | $283.67 | $688.91 | $1,038.77 |