| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $460.08 | $595.07 | $743.83 | |
Cigna
| Professional | $894.40 | $894.40 | $1,543.13 | |
Medica
| Facility | $460.08 | $781.02 | $5,757.82 | |
Medica
| Professional | $497.95 | $770.28 | $1,142.99 | |
United
| Professional | $587.00 | $719.26 | $1,142.99 |