| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,684.00 | $18,600.00 | |
Aetna
| Professional | $60.82 | $60.82 | $78.41 | |
Cigna
| Facility | $135.54 | $135.54 | $135.54 | |
Medica
| Facility | $51.70 | $60.82 | $93.26 | |
Medica
| Professional | $63.81 | $82.75 | $234.30 | |
United
| Professional | $63.81 | $79.76 | $117.13 |