| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $501.19 | $660.69 | |
Aetna
| Professional | $478.63 | $537.03 | $660.69 | |
Cigna
| Professional | $812.83 | $812.83 | $1,023.29 | |
Medica
| Facility | $426.58 | $537.03 | $1,288.25 | |
Medica
| Professional | $295.12 | $851.14 | $1,412.54 | |
United
| Professional | $295.12 | $724.44 | $1,202.26 |