| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.19 | $150.19 | $8,500.00 | |
Aetna
| Professional | $29.16 | $29.16 | $150.19 | |
Cigna
| Professional | $32.25 | $32.25 | $40.31 | |
Medica
| Facility | $26.69 | $150.19 | $263.00 | |
Medica
| Professional | $19.44 | $30.37 | $77.84 | |
United
| Facility | $271.00 | $271.00 | $271.00 | |
United
| Professional | $19.44 | $30.37 | $67.40 |