| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,122.02 | $1,122.02 | $1,122.02 | |
Aetna
| Professional | $489.78 | $812.83 | $1,047.13 | |
Cigna
| Professional | $72.44 | $4,365.16 | $5,128.61 | |
Medica
| Facility | $141.25 | $758.58 | $1,258.93 | |
Medica
| Professional | $40.74 | $63.10 | $165.96 | |
United
| Facility | $70.79 | $79.43 | $1,047.13 | |
United
| Professional | $40.74 | $63.10 | $158.49 |