| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,348.96 | $3,801.89 | $8,128.31 | |
Aetna
| Professional | $52.48 | $72.44 | $93.33 | |
Cigna
| Professional | $102.33 | $102.33 | $102.33 | |
Medica
| Facility | $64.57 | $97.72 | $1,288.25 | |
Medica
| Professional | $79.43 | $102.33 | $549.54 | |
United
| Facility | $190.55 | $537.03 | $1,905.46 | |
United
| Professional | $77.62 | $97.72 | $131.83 |