| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $1,288.25 | $1,445.44 | |
Aetna
| Professional | $501.19 | $630.96 | $794.33 | |
Cigna
| Professional | $851.14 | $851.14 | $851.14 | |
Medica
| Facility | $645.65 | $891.25 | $3,548.13 | |
Medica
| Professional | $309.03 | $446.68 | $3,715.35 | |
United
| Facility | $309.03 | $741.31 | $891.25 | |
United
| Professional | $309.03 | $446.68 | $794.33 |