| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $466.24 | $466.24 | $466.24 | |
Aetna
| Professional | $460.48 | $471.99 | $489.26 | |
Cigna
| Facility | $508.43 | $508.43 | $508.43 | |
Cigna
| Professional | $508.43 | $508.43 | $508.43 | |
Medica
| Facility | $466.24 | $498.26 | $575.60 | |
Medica
| Professional | $552.58 | $575.60 | $684.96 | |
United
| Professional | $575.60 | $575.60 | $661.94 |