| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.25 | $416.25 | $900.00 | |
Aetna
| Professional | $277.50 | $277.50 | $281.25 | |
Cigna
| Facility | $243.75 | $243.75 | $1,001.81 | |
Cigna
| Professional | $414.59 | $414.59 | $496.73 | |
Medica
| Facility | $277.50 | $353.62 | $630.00 | |
Medica
| Professional | $157.50 | $157.50 | $562.50 | |
United
| Professional | $157.50 | $157.50 | $240.00 |