| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $345.31 | $345.31 | $8,500.00 | |
Aetna
| Professional | $345.31 | $345.31 | $459.61 | |
Cigna
| Professional | $529.88 | $529.88 | $662.34 | |
Medica
| Facility | $345.31 | $587.03 | $1,035.93 | |
Medica
| Professional | $519.69 | $926.46 | $1,275.67 | |
United
| Professional | $542.73 | $986.78 | $1,275.67 |