| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $784.80 | $784.80 | $784.80 | |
Aetna
| Professional | $784.80 | $896.91 | $899.09 | |
Cigna
| Facility | $1,324.18 | $1,324.18 | $1,324.18 | |
Cigna
| Professional | $966.65 | $1,324.18 | $1,324.18 | |
Medica
| Facility | $532.04 | $1,098.57 | $8,608.62 | |
Medica
| Professional | $549.41 | $1,089.02 | $1,851.63 | |
United
| Facility | $640.00 | $640.00 | $640.00 | |
United
| Professional | $549.41 | $824.75 | $1,241.41 |