| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $395.90 | $527.87 | $1,266.89 | |
Aetna
| Professional | $390.62 | $390.62 | $564.82 | |
Cigna
| Facility | $343.12 | $343.12 | $1,410.22 | |
Cigna
| Professional | $643.10 | $643.10 | $770.51 | |
Medica
| Facility | $390.62 | $527.87 | $886.82 | |
Medica
| Professional | $221.71 | $221.71 | $1,982.27 | |
United
| Professional | $221.71 | $221.71 | $337.84 |