| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,139.30 | $1,519.06 | $3,645.74 | |
Aetna
| Professional | $1,124.09 | $1,139.30 | $1,139.30 | |
Cigna
| Facility | $987.39 | $987.39 | $4,058.17 | |
Cigna
| Professional | $1,850.06 | $1,850.06 | $2,216.58 | |
Medica
| Facility | $1,124.09 | $1,519.06 | $2,552.02 | |
Medica
| Professional | $638.01 | $638.01 | $5,704.42 | |
United
| Professional | $638.01 | $638.01 | $972.20 |