| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.15 | $864.17 | $1,469.09 | |
Aetna
| Professional | $804.05 | $859.78 | $859.78 | |
Cigna
| Facility | $751.03 | $751.03 | $806.51 | |
Cigna
| Professional | $774.75 | $796.09 | $806.51 | |
Medica
| Facility | $584.33 | $864.17 | $3,356.12 | |
Medica
| Professional | $566.96 | $800.15 | $800.15 | |
United
| Professional | $517.46 | $796.09 | $796.09 |