| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.75 | $707.75 | $1,043.13 | |
Aetna
| Professional | $681.54 | $707.75 | $797.90 | |
Cigna
| Facility | $831.10 | $831.10 | $831.10 | |
Cigna
| Professional | $606.70 | $1,091.08 | $1,226.75 | |
Medica
| Facility | $428.38 | $898.98 | $6,933.23 | |
Medica
| Professional | $442.36 | $713.45 | $1,480.40 | |
United
| Professional | $442.36 | $663.55 | $951.95 |