| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $418.80 | $418.80 | $418.80 | |
Aetna
| Professional | $307.44 | $418.80 | $523.50 | |
Cigna
| Facility | $255.74 | $255.74 | $614.12 | |
Cigna
| Professional | $56.76 | $255.74 | $840.00 | |
Medica
| Facility | $73.81 | $439.74 | $2,570.06 | |
Medica
| Professional | $209.61 | $314.41 | $642.15 | |
United
| Professional | $253.21 | $314.13 | $642.15 |