| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.67 | $61.67 | $8,500.00 | |
Aetna
| Professional | $56.39 | $86.77 | $406.48 | |
Cigna
| Professional | $108.00 | $109.08 | $137.16 | |
Medica
| Facility | $61.67 | $99.70 | $167.62 | |
Medica
| Professional | $90.79 | $152.56 | $247.58 | |
United
| Professional | $94.98 | $152.56 | $208.96 |