| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,683.00 | $7,500.00 | |
Aetna
| Professional | $57.61 | $75.67 | $84.62 | |
Cigna
| Professional | $185.86 | $185.86 | $185.86 | |
Medica
| Facility | $66.31 | $69.63 | $94.82 | |
Medica
| Professional | $73.93 | $91.34 | $515.54 | |
United
| Professional | $69.58 | $82.63 | $110.46 |