| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $497.80 | $537.62 | $913.95 | |
Aetna
| Professional | $537.99 | $537.99 | $537.99 | |
Cigna
| Facility | $469.94 | $469.94 | $498.14 | |
Cigna
| Professional | $498.14 | $498.14 | $498.14 | |
Medica
| Facility | $490.87 | $537.62 | $768.80 | |
Medica
| Professional | $490.77 | $497.80 | $498.14 | |
United
| Professional | $498.14 | $498.14 | $533.80 |