| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.19 | $135.19 | $8,500.00 | |
Aetna
| Professional | $124.12 | $180.00 | $303.98 | |
Cigna
| Professional | $231.75 | $234.07 | $294.32 | |
Medica
| Facility | $135.19 | $200.36 | $359.89 | |
Medica
| Professional | $194.83 | $327.38 | $547.22 | |
United
| Professional | $209.93 | $327.38 | $461.85 |