| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $689.06 | $689.06 | $689.06 | |
Aetna
| Professional | $689.06 | $787.50 | $794.96 | |
Cigna
| Facility | $891.71 | $891.71 | $891.71 | |
Cigna
| Professional | $650.95 | $891.71 | $891.71 | |
Medica
| Facility | $482.60 | $964.55 | $7,438.91 | |
Medica
| Professional | $474.63 | $940.79 | $1,625.77 | |
United
| Professional | $534.14 | $765.49 | $1,072.44 |