| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.51 | $35.51 | $8,500.00 | |
Aetna
| Professional | $35.51 | $52.36 | $53.86 | |
Cigna
| Professional | $71.95 | $71.95 | $71.95 | |
Medica
| Facility | $32.09 | $46.53 | $97.54 | |
Medica
| Professional | $54.13 | $99.26 | $398.72 | |
United
| Professional | $52.08 | $89.86 | $119.08 |