| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $545.59 | $545.59 | $804.13 | |
Aetna
| Professional | $525.39 | $545.59 | $608.32 | |
Cigna
| Facility | $713.15 | $713.15 | $713.15 | |
Cigna
| Professional | $520.60 | $713.14 | $713.15 | |
Medica
| Facility | $367.58 | $715.32 | $6,073.14 | |
Medica
| Professional | $379.58 | $569.38 | $1,141.21 | |
United
| Professional | $379.58 | $551.62 | $816.84 |