| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $758.58 | $758.58 | |
Aetna
| Professional | $758.58 | $758.58 | $891.25 | |
Cigna
| Professional | $478.63 | $478.63 | $478.63 | |
Hally Health
| Professional | $151.36 | $1,071.52 | $1,071.52 | |
Medica
| Facility | $758.58 | $1,148.15 | $2,137.96 | |
United
| Facility | $1,122.02 | $1,949.84 | $2,570.40 |