| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $781.02 | $781.02 | $781.02 | |
Aetna
| Professional | $605.66 | $781.02 | $976.28 | |
Cigna
| Facility | $881.10 | $881.10 | $1,167.58 | |
Cigna
| Professional | $109.87 | $881.10 | $1,620.00 | |
Medica
| Facility | $118.00 | $820.07 | $6,756.10 | |
Medica
| Professional | $551.02 | $825.37 | $1,265.25 | |
United
| Professional | $594.22 | $720.46 | $1,265.25 |