| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $606.32 | $606.32 | $893.62 | |
Aetna
| Professional | $583.86 | $606.32 | $606.32 | |
Cigna
| Facility | $680.86 | $680.86 | $680.86 | |
Cigna
| Professional | $497.03 | $680.86 | $680.86 | |
Medica
| Facility | $350.94 | $794.94 | $5,885.29 | |
Medica
| Professional | $362.40 | $611.20 | $1,268.24 | |
United
| Facility | $453.00 | $453.00 | $453.00 | |
United
| Professional | $362.40 | $543.59 | $779.86 |