| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $846.27 | $846.27 | $846.27 | |
Aetna
| Professional | $77.22 | $622.19 | $846.27 | |
Cigna
| Professional | $630.72 | $630.72 | $630.72 | |
Medica
| Facility | $232.96 | $846.27 | $1,233.66 | |
Medica
| Professional | $60.50 | $198.17 | $4,977.89 | |
United
| Professional | $67.22 | $184.37 | $433.80 |