| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $763.94 | $763.94 | $8,500.00 | |
Aetna
| Professional | $181.29 | $763.94 | $763.94 | |
Cigna
| Professional | $252.00 | $252.00 | $315.00 | |
Medica
| Facility | $174.74 | $763.94 | $2,291.82 | |
Medica
| Professional | $178.12 | $312.67 | $567.40 | |
United
| Professional | $106.44 | $320.27 | $567.40 |