| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $467.74 | $616.60 | $891.25 | |
Cigna
| Professional | $851.14 | $851.14 | $1,023.29 | |
Medica
| Facility | $524.81 | $562.34 | $1,023.29 | |
Medica
| Professional | $295.12 | $295.12 | $3,548.13 | |
United
| Professional | $295.12 | $295.12 | $707.95 |