| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $540.30 | $540.30 | $796.34 | |
Aetna
| Professional | $520.29 | $540.30 | $609.07 | |
Cigna
| Facility | $714.02 | $714.02 | $714.02 | |
Cigna
| Professional | $521.23 | $714.01 | $714.02 | |
Medica
| Facility | $368.03 | $708.39 | $6,061.86 | |
Medica
| Professional | $380.05 | $570.07 | $1,130.16 | |
United
| Professional | $380.05 | $546.28 | $817.84 |