| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $484.98 | $484.98 | $484.98 | |
Aetna
| Professional | $484.98 | $484.98 | $606.23 | |
Cigna
| Professional | $65.25 | $643.37 | $1,068.75 | |
Medica
| Facility | $57.47 | $509.23 | $4,141.80 | |
Medica
| Professional | $258.98 | $388.47 | $660.43 | |
United
| Professional | $258.98 | $387.92 | $660.43 |