| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,186.19 | $1,186.19 | $1,186.19 | |
Aetna
| Professional | $605.71 | $870.71 | $1,186.19 | |
Cigna
| Professional | $71.76 | $4,077.00 | $5,096.25 | |
Medica
| Facility | $138.54 | $687.60 | $1,186.19 | |
Medica
| Professional | $40.57 | $74.65 | $199.28 | |
United
| Professional | $40.57 | $72.88 | $200.40 |