| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $8,500.00 | |
Aetna
| Professional | $20.00 | $166.03 | $168.06 | |
Cigna
| Professional | $174.38 | $174.38 | $217.97 | |
Medica
| Facility | $20.00 | $26.00 | $340.97 | |
Medica
| Professional | $183.34 | $302.51 | $392.44 | |
United
| Professional | $183.34 | $313.83 | $461.78 |