| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.14 | $616.14 | $616.14 | |
Aetna
| Professional | $593.32 | $616.14 | $694.61 | |
Cigna
| Facility | $723.52 | $723.52 | $723.52 | |
Cigna
| Professional | $528.16 | $723.52 | $723.52 | |
Medica
| Facility | $622.99 | $848.06 | $6,035.75 | |
Medica
| Professional | $385.10 | $622.94 | $1,319.11 | |
United
| Professional | $385.10 | $586.96 | $869.29 |