| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $1,621.81 | $2,238.72 | |
Aetna
| Professional | $281.84 | $354.81 | $416.87 | |
Cigna
| Professional | $457.09 | $616.60 | $776.25 | |
Medica
| Facility | $407.38 | $416.87 | $776.25 | |
Medica
| Professional | $524.81 | $524.81 | $3,019.95 | |
United
| Professional | $524.81 | $524.81 | $588.84 |