| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $374.01 | $374.01 | $551.24 | |
Aetna
| Professional | $360.16 | $374.01 | $475.06 | |
Cigna
| Facility | $494.25 | $494.25 | $494.25 | |
Cigna
| Professional | $360.80 | $494.25 | $494.25 | |
Medica
| Facility | $254.75 | $490.36 | $4,154.25 | |
Medica
| Professional | $263.08 | $394.61 | $782.33 | |
United
| Professional | $263.08 | $386.38 | $566.12 |