| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $254.01 | $254.01 | $279.13 | |
Aetna
| Professional | $254.01 | $286.08 | $370.75 | |
Cigna
| Facility | $1,118.58 | $1,242.86 | $2,158.42 | |
Medica
| Facility | $279.13 | $319.37 | $803.91 | |
Medica
| Professional | $314.33 | $397.87 | $1,555.83 | |
United
| Professional | $307.19 | $355.70 | $600.73 |