| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $430.09 | $430.09 | $440.45 | |
Cigna
| Professional | $475.13 | $475.13 | $593.91 | |
Medica
| Facility | $518.17 | $652.82 | $697.67 | |
Medica
| Professional | $518.17 | $518.17 | $570.00 | |
Midlands
| Facility | $652.82 | $652.82 | $652.82 | |
Midlands
| Professional | $503.50 | $570.47 | $761.45 | |
United
| Professional | $518.17 | $518.17 | $570.00 |