| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.10 | $350.10 | $350.10 | |
Aetna
| Professional | $350.10 | $400.11 | $403.88 | |
Cigna
| Facility | $525.23 | $525.23 | $525.23 | |
Cigna
| Professional | $383.42 | $525.23 | $525.23 | |
Medica
| Facility | $245.20 | $490.06 | $3,779.52 | |
Medica
| Professional | $241.14 | $477.98 | $826.00 | |
United
| Professional | $241.14 | $388.92 | $544.88 |