| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $717.60 | $897.00 | $2,152.80 | |
Aetna
| Professional | $672.75 | $672.75 | $717.60 | |
Cigna
| Facility | $583.04 | $583.04 | $787.12 | |
Cigna
| Professional | $1,030.84 | $1,030.84 | $1,288.56 | |
Medica
| Facility | $538.20 | $672.75 | $4,260.75 | |
Medica
| Professional | $376.74 | $376.74 | $897.00 | |
United
| Professional | $376.74 | $376.74 | $538.20 |