| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $419.86 | $720.12 | $900.15 | |
Cigna
| Facility | $359.59 | $359.59 | $359.59 | |
Cigna
| Professional | $94.09 | $305.64 | $1,687.50 | |
Medica
| Facility | $93.85 | $526.32 | $6,150.76 | |
Medica
| Professional | $384.57 | $576.32 | $912.08 | |
United
| Professional | $424.70 | $537.90 | $829.76 |