| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.00 | $500.00 | $2,100.00 | |
Aetna
| Professional | $171.00 | $211.49 | $255.08 | |
Cigna
| Facility | $125.83 | $125.83 | $125.83 | |
Medica
| Facility | $261.68 | $281.49 | $2,489.36 | |
Medica
| Professional | $198.73 | $234.99 | $1,293.17 | |
United
| Professional | $198.73 | $234.99 | $352.49 |