| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.66 | $60.66 | $8,500.00 | |
Aetna
| Professional | $57.90 | $88.94 | $128.00 | |
Cigna
| Professional | $108.00 | $109.08 | $137.16 | |
Medica
| Facility | $60.66 | $97.79 | $167.62 | |
Medica
| Professional | $89.65 | $150.63 | $243.62 | |
United
| Professional | $93.46 | $150.63 | $205.61 |