| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $398.11 | $398.11 | |
Aetna
| Professional | $380.19 | $467.74 | $707.95 | |
Cigna
| Facility | $575.44 | $575.44 | $575.44 | |
Cigna
| Professional | $426.58 | $426.58 | $891.25 | |
Medica
| Facility | $354.81 | $660.69 | $4,265.80 | |
Medica
| Professional | $269.15 | $446.68 | $1,023.29 | |
United
| Facility | $398.11 | $851.14 | $933.25 | |
United
| Professional | $269.15 | $398.11 | $588.84 |