| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $484.77 | $484.77 | $714.49 | |
Aetna
| Professional | $466.82 | $484.77 | $484.77 | |
Cigna
| Facility | $567.88 | $567.88 | $567.88 | |
Cigna
| Professional | $414.55 | $414.55 | $1,359.38 | |
Medica
| Facility | $292.70 | $615.76 | $4,877.45 | |
Medica
| Professional | $302.26 | $488.68 | $1,014.00 | |
United
| Professional | $302.26 | $462.28 | $650.44 |