| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $467.74 | $467.74 | |
Aetna
| Professional | $416.87 | $524.81 | $812.83 | |
Cigna
| Facility | $549.54 | $549.54 | $549.54 | |
Cigna
| Professional | $398.11 | $398.11 | $1,071.52 | |
Medica
| Facility | $426.58 | $630.96 | $4,570.88 | |
Medica
| Professional | $295.12 | $478.63 | $1,202.26 | |
United
| Facility | $436.52 | $1,023.29 | $1,023.29 | |
United
| Professional | $295.12 | $436.52 | $630.96 |