| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,448.30 | $1,448.30 | $2,237.34 | |
Cigna
| Professional | $702.00 | $709.02 | $877.50 | |
Medica
| Facility | $1,530.55 | $2,237.34 | $3,915.35 | |
Wellmark
| Professional | $3,125.00 | $3,125.00 | $3,125.00 |