| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.69 | $218.69 | $8,500.00 | |
Aetna
| Professional | $218.69 | $218.69 | $383.88 | |
Cigna
| Professional | $428.25 | $428.25 | $535.30 | |
Medica
| Facility | $218.69 | $371.77 | $656.07 | |
Medica
| Professional | $329.14 | $586.82 | $807.87 | |
United
| Professional | $362.88 | $625.02 | $807.87 |