| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.00 | $450.00 | $450.00 | |
Aetna
| Professional | $450.00 | $450.00 | $450.00 | |
Cigna
| Facility | $445.41 | $445.41 | $445.41 | |
Cigna
| Professional | $371.73 | $371.73 | $371.73 | |
Medica
| Facility | $450.00 | $1,264.50 | $2,384.42 | |
Medica
| Professional | $407.91 | $559.50 | $1,046.81 | |
United
| Professional | $407.91 | $583.98 | $1,085.42 |