| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.88 | $225.88 | $8,500.00 | |
Aetna
| Professional | $225.88 | $225.88 | $323.30 | |
Cigna
| Professional | $375.00 | $375.00 | $468.75 | |
Medica
| Facility | $225.88 | $384.00 | $677.64 | |
Medica
| Professional | $339.96 | $605.44 | $834.43 | |
United
| Professional | $374.43 | $644.86 | $834.43 |