| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.59 | $163.59 | $8,500.00 | |
Aetna
| Professional | $163.59 | $177.15 | $177.15 | |
Cigna
| Professional | $181.13 | $181.13 | $226.41 | |
Medica
| Facility | $163.59 | $212.24 | $327.92 | |
Medica
| Professional | $246.85 | $371.06 | $522.76 | |
United
| Facility | $271.00 | $271.00 | $271.00 | |
United
| Professional | $222.17 | $313.83 | $482.82 |