| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.00 | $28.00 | $8,500.00 | |
Aetna
| Professional | $8.24 | $9.72 | $28.00 | |
Cigna
| Professional | $7.50 | $7.50 | $9.38 | |
Medica
| Facility | $8.49 | $28.00 | $84.00 | |
Medica
| Professional | $5.57 | $6.55 | $76.56 | |
United
| Professional | $5.57 | $6.19 | $9.64 |