| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $93.33 | $8,511.38 | |
Aetna
| Professional | $34.67 | $97.72 | $218.78 | |
Cigna
| Professional | $114.82 | $117.49 | $144.54 | |
Medica
| Facility | $66.07 | $114.82 | $177.83 | |
Medica
| Professional | $97.72 | $162.18 | $269.15 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 | |
United
| Professional | $97.72 | $151.36 | $204.17 |