| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,737.80 | $1,778.28 | $3,162.28 | |
Cigna
| Professional | $6,025.60 | $6,025.60 | $7,244.36 | |
Medica
| Facility | $1,737.80 | $2,238.72 | $7,244.36 | |
Medica
| Professional | $1,047.13 | $1,513.56 | $24,547.09 | |
United
| Professional | $1,047.13 | $1,047.13 | $2,511.89 |