| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $474.33 | $613.54 | $766.93 | |
Cigna
| Facility | $360.90 | $360.90 | $360.90 | |
Cigna
| Professional | $306.77 | $360.90 | $1,233.75 | |
Medica
| Facility | $474.33 | $805.28 | $5,936.57 | |
Medica
| Professional | $513.38 | $794.18 | $1,178.41 | |
United
| Professional | $605.23 | $726.27 | $1,178.41 |