| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.66 | $130.66 | $8,500.00 | |
Aetna
| Professional | $130.66 | $130.66 | $185.51 | |
Cigna
| Professional | $313.13 | $313.13 | $391.41 | |
Medica
| Facility | $130.66 | $191.99 | $391.98 | |
Medica
| Professional | $205.49 | $350.78 | $482.63 | |
United
| Professional | $205.49 | $373.62 | $482.63 |