| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $395.50 | $395.50 | $582.91 | |
Aetna
| Professional | $380.85 | $395.50 | $425.06 | |
Cigna
| Facility | $450.57 | $450.57 | $450.57 | |
Cigna
| Professional | $328.92 | $450.57 | $450.57 | |
Medica
| Facility | $232.24 | $518.54 | $3,794.31 | |
Medica
| Professional | $239.82 | $398.68 | $827.26 | |
United
| Professional | $239.82 | $359.73 | $516.08 |