| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $1,862.09 | $2,691.53 | |
Aetna
| Professional | $512.86 | $512.86 | $954.99 | |
Cigna
| Professional | $489.78 | $489.78 | $489.78 | |
Medica
| Facility | $512.86 | $1,047.13 | $1,412.54 | |
United
| Facility | $1,513.56 | $1,513.56 | $1,513.56 |