| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $651.48 | $1,117.38 | $1,396.73 | |
Cigna
| Facility | $2,075.01 | $2,075.01 | $2,075.01 | |
Cigna
| Professional | $169.88 | $1,743.98 | $3,079.69 | |
Medica
| Facility | $675.54 | $1,482.07 | $11,227.13 | |
Medica
| Professional | $709.32 | $1,112.66 | $1,655.95 | |
United
| Professional | $881.50 | $1,103.39 | $1,639.32 |