| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,096.48 | $1,096.48 | $1,096.48 | |
Aetna
| Professional | $512.86 | $870.96 | $1,096.48 | |
Cigna
| Professional | $25.12 | $4,073.80 | $5,128.61 | |
Medica
| Facility | $100.00 | $1,096.48 | $2,344.23 | |
Medica
| Professional | $50.12 | $104.71 | $891.25 | |
United
| Facility | $70.79 | $104.71 | $1,659.59 | |
United
| Professional | $60.26 | $100.00 | $1,047.13 |