| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $981.48 | $981.48 | $1,446.55 | |
Aetna
| Professional | $945.13 | $981.48 | $1,106.46 | |
Cigna
| Facility | $1,335.63 | $1,335.63 | $1,335.63 | |
Cigna
| Professional | $975.01 | $1,335.63 | $1,335.63 | |
Medica
| Facility | $594.04 | $1,246.66 | $9,614.69 | |
Medica
| Professional | $613.45 | $989.38 | $2,052.94 | |
United
| Professional | $613.45 | $920.18 | $1,320.11 |