| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $434.35 | $642.25 | $802.82 | |
Cigna
| Facility | $542.66 | $542.66 | $1,091.71 | |
Cigna
| Professional | $396.14 | $542.66 | $1,327.88 | |
Medica
| Facility | $822.87 | $842.96 | $5,719.94 | |
Medica
| Professional | $407.20 | $654.44 | $904.89 | |
United
| Professional | $467.64 | $660.05 | $904.89 |