| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $465.06 | $573.46 | $795.16 | |
Cigna
| Professional | $413.66 | $413.66 | $413.66 | |
Medica
| Facility | $795.16 | $819.01 | $3,773.67 | |
Medica
| Professional | $576.96 | $583.25 | $590.10 | |
United
| Professional | $576.96 | $583.25 | $590.10 |