| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $946.68 | $946.68 | $1,395.27 | |
Aetna
| Professional | $911.62 | $946.68 | $1,142.92 | |
Cigna
| Facility | $1,304.10 | $1,304.10 | $1,304.10 | |
Cigna
| Professional | $952.00 | $1,304.10 | $1,304.10 | |
Medica
| Facility | $644.82 | $1,241.18 | $10,402.94 | |
Medica
| Professional | $665.88 | $998.83 | $1,980.16 | |
United
| Professional | $665.88 | $957.13 | $1,432.94 |