| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.00 | $400.00 | $400.00 | |
Aetna
| Professional | $400.00 | $415.00 | $500.00 | |
Cigna
| Professional | $432.81 | $475.13 | $603.41 | |
Medica
| Facility | $400.00 | $520.00 | $763.70 | |
Medica
| Professional | $500.00 | $500.00 | $3,061.82 | |
United
| Professional | $500.00 | $500.00 | $550.00 |