| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $346.63 | $448.36 | $560.45 | |
Cigna
| Facility | $359.59 | $359.59 | $359.59 | |
Cigna
| Professional | $305.64 | $359.59 | $847.50 | |
Medica
| Facility | $346.63 | $588.47 | $4,338.29 | |
Medica
| Professional | $375.17 | $580.37 | $861.15 | |
United
| Professional | $442.28 | $583.59 | $861.15 |