| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $425.58 | $425.58 | $425.58 | |
Aetna
| Professional | $309.98 | $425.58 | $531.98 | |
Cigna
| Facility | $370.80 | $370.80 | $622.23 | |
Cigna
| Professional | $57.24 | $370.80 | $862.50 | |
Medica
| Facility | $75.28 | $446.86 | $2,587.75 | |
Medica
| Professional | $211.05 | $316.79 | $647.48 | |
United
| Professional | $263.82 | $316.58 | $647.48 |