| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $739.01 | $739.01 | $739.01 | |
Aetna
| Professional | $739.01 | $844.59 | $844.59 | |
Cigna
| Facility | $963.22 | $963.22 | $963.22 | |
Cigna
| Professional | $703.15 | $963.22 | $963.23 | |
Medica
| Facility | $496.48 | $1,034.48 | $8,261.60 | |
Medica
| Professional | $512.69 | $1,016.24 | $1,743.62 | |
United
| Professional | $512.69 | $820.97 | $1,158.45 |