| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $423.14 | $423.14 | $952.06 | |
Aetna
| Professional | $423.14 | $528.91 | $528.91 | |
Cigna
| Professional | $475.88 | $475.88 | $594.84 | |
Medica
| Facility | $359.04 | $528.91 | $719.34 | |
Medica
| Professional | $528.91 | $588.79 | $639.47 | |
United
| Professional | $528.91 | $588.79 | $639.47 |