| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $414.08 | $612.32 | $765.41 | |
Cigna
| Facility | $394.97 | $394.97 | $1,040.75 | |
Cigna
| Professional | $288.33 | $394.97 | $1,311.75 | |
Medica
| Facility | $789.78 | $810.41 | $5,453.18 | |
Medica
| Professional | $388.20 | $609.04 | $867.73 | |
United
| Professional | $388.20 | $607.23 | $867.73 |