| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $327.20 | $479.05 | $598.82 | |
Cigna
| Facility | $369.39 | $369.39 | $822.43 | |
Cigna
| Professional | $269.64 | $369.39 | $1,046.63 | |
Medica
| Facility | $628.76 | $640.58 | $4,343.22 | |
Medica
| Professional | $306.76 | $497.24 | $689.42 | |
United
| Professional | $362.85 | $497.24 | $689.42 |