| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,422.75 | $1,517.60 | $1,517.60 | |
Cigna
| Professional | $6,620.11 | $6,620.11 | $7,931.64 | |
Medica
| Facility | $1,354.46 | $1,593.48 | $7,880.75 | |
Medica
| Professional | $796.74 | $796.74 | $27,066.30 | |
United
| Professional | $796.74 | $796.74 | $7,123.67 |