| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $445.77 | $445.77 | $656.99 | |
Aetna
| Professional | $429.26 | $445.77 | $445.77 | |
Cigna
| Facility | $550.80 | $550.80 | $550.80 | |
Cigna
| Professional | $402.09 | $550.80 | $550.80 | |
Medica
| Facility | $246.70 | $584.44 | $4,148.45 | |
Medica
| Professional | $254.76 | $445.84 | $932.41 | |
United
| Professional | $254.76 | $382.15 | $548.23 |