| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $616.60 | $616.60 | |
Aetna
| Professional | $549.54 | $691.83 | $1,071.52 | |
Cigna
| Facility | $724.44 | $724.44 | $724.44 | |
Cigna
| Professional | $524.81 | $524.81 | $1,412.54 | |
Medica
| Facility | $588.84 | $851.14 | $4,073.80 | |
Medica
| Professional | $389.05 | $616.60 | $1,698.24 | |
United
| Facility | $575.44 | $1,318.26 | $1,348.96 | |
United
| Professional | $389.05 | $575.44 | $870.96 |