| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,034.00 | $1,034.00 | $1,523.95 | |
Aetna
| Professional | $995.70 | $1,034.00 | $1,165.66 | |
Cigna
| Facility | $1,214.17 | $1,214.17 | $1,214.17 | |
Cigna
| Professional | $886.34 | $1,214.17 | $1,214.17 | |
Medica
| Facility | $625.83 | $1,313.37 | $10,128.96 | |
Medica
| Professional | $646.26 | $1,042.31 | $2,162.80 | |
United
| Professional | $646.26 | $969.40 | $1,390.73 |