| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $532.58 | $575.19 | $977.82 | |
Aetna
| Professional | $572.27 | $572.28 | $572.28 | |
Cigna
| Facility | $499.90 | $499.90 | $529.89 | |
Cigna
| Professional | $529.89 | $529.89 | $529.89 | |
Medica
| Facility | $528.20 | $575.19 | $822.52 | |
Medica
| Professional | $524.57 | $532.58 | $532.58 | |
United
| Professional | $529.89 | $529.89 | $561.67 |