| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $607.24 | $759.05 | $1,821.72 | |
Aetna
| Professional | $569.29 | $569.29 | $812.18 | |
Cigna
| Facility | $493.38 | $493.38 | $666.06 | |
Cigna
| Professional | $924.59 | $924.59 | $1,107.77 | |
Medica
| Facility | $569.29 | $759.05 | $1,275.20 | |
Medica
| Professional | $318.80 | $318.80 | $2,850.41 | |
United
| Professional | $318.80 | $318.80 | $485.79 |