| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $423.45 | $423.45 | $423.45 | |
Aetna
| Professional | $423.45 | $514.38 | $574.29 | |
Cigna
| Professional | $818.96 | $818.96 | $818.96 | |
Medica
| Facility | $455.09 | $514.38 | $1,073.18 | |
Medica
| Professional | $703.72 | $1,012.99 | $4,977.89 | |
United
| Professional | $791.65 | $992.44 | $1,287.63 |