| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $758.58 | $8,511.38 | |
Aetna
| Professional | $165.96 | $181.97 | $758.58 | |
Cigna
| Professional | $251.19 | $251.19 | $316.23 | |
Medica
| Facility | $173.78 | $758.58 | $2,290.87 | |
Medica
| Professional | $177.83 | $281.84 | $371.54 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 | |
United
| Professional | $177.83 | $281.84 | $371.54 |