| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $855.90 | $1,071.90 | $1,217.05 | |
Cigna
| Professional | $981.64 | $1,260.69 | $1,622.46 | |
Medica
| Facility | $959.51 | $1,215.50 | $1,893.48 | |
Medica
| Professional | $815.98 | $1,168.53 | $8,114.99 | |
United
| Professional | $783.59 | $1,007.98 | $1,631.41 |