| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $230.67 | $230.67 | $8,500.00 | |
Aetna
| Professional | $230.67 | $284.01 | $287.62 | |
Cigna
| Professional | $205.88 | $205.88 | $257.33 | |
Medica
| Facility | $230.67 | $346.28 | $692.01 | |
Medica
| Professional | $182.24 | $344.99 | $852.10 | |
United
| Professional | $172.58 | $344.99 | $750.61 |