| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315.83 | $315.83 | $8,500.00 | |
Aetna
| Professional | $197.24 | $315.83 | $315.83 | |
Cigna
| Professional | $252.00 | $252.00 | $315.00 | |
Medica
| Facility | $166.19 | $315.83 | $947.52 | |
Medica
| Professional | $221.54 | $369.19 | $567.40 | |
United
| Professional | $233.57 | $402.80 | $567.40 |