| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $734.44 | $734.44 | $734.44 | |
Aetna
| Professional | $734.44 | $839.36 | $839.36 | |
Cigna
| Facility | $902.63 | $902.63 | $902.63 | |
Cigna
| Professional | $658.92 | $902.63 | $902.63 | |
Medica
| Facility | $465.25 | $1,028.07 | $7,563.25 | |
Medica
| Professional | $480.44 | $952.31 | $1,732.81 | |
United
| Professional | $480.44 | $795.88 | $1,085.58 |