| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $289.56 | $429.72 | $537.15 | |
Cigna
| Facility | $647.96 | $647.96 | $727.79 | |
Cigna
| Professional | $473.01 | $647.96 | $889.50 | |
Medica
| Facility | $553.91 | $564.01 | $3,751.53 | |
Medica
| Professional | $271.47 | $435.19 | $603.26 | |
United
| Professional | $271.47 | $422.28 | $603.26 |