| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $527.63 | $527.63 | $777.65 | |
Aetna
| Professional | $508.09 | $527.63 | $555.23 | |
Cigna
| Facility | $740.83 | $740.83 | $740.83 | |
Cigna
| Professional | $540.80 | $740.83 | $740.83 | |
Medica
| Facility | $335.49 | $691.77 | $5,601.21 | |
Medica
| Professional | $346.45 | $533.45 | $1,103.64 | |
United
| Professional | $346.45 | $519.67 | $745.54 |