| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $469.68 | $469.68 | $692.24 | |
Aetna
| Professional | $452.29 | $469.68 | $530.12 | |
Cigna
| Facility | $551.53 | $551.53 | $551.53 | |
Cigna
| Professional | $402.62 | $551.53 | $551.53 | |
Medica
| Facility | $284.27 | $596.58 | $4,601.05 | |
Medica
| Professional | $293.56 | $473.46 | $982.43 | |
United
| Professional | $293.56 | $440.35 | $631.73 |