| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $419.36 | $1,464.90 | $1,710.00 | |
Aetna
| Professional | $323.44 | $355.61 | $419.36 | |
Cigna
| Professional | $440.51 | $617.63 | $772.03 | |
Medica
| Facility | $261.51 | $545.16 | $781.13 | |
Medica
| Professional | $520.75 | $520.75 | $3,033.62 | |
United
| Professional | $520.75 | $520.75 | $572.83 |