| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,454.71 | $6,606.93 | |
Aetna
| Professional | $67.61 | $87.10 | $371.54 | |
Cigna
| Professional | $165.96 | $165.96 | $165.96 | |
Medica
| Facility | $75.86 | $138.04 | $1,548.82 | |
Medica
| Professional | $75.86 | $100.00 | $208.93 | |
United
| Facility | $138.04 | $630.96 | $1,659.59 | |
United
| Professional | $74.13 | $95.50 | $128.82 |