| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.61 | $57.61 | $8,500.00 | |
Aetna
| Professional | $47.59 | $79.02 | $84.00 | |
Cigna
| Professional | $107.65 | $107.65 | $185.86 | |
Medica
| Facility | $57.61 | $97.92 | $138.91 | |
Medica
| Professional | $82.63 | $153.05 | $515.54 | |
United
| Professional | $81.88 | $134.82 | $187.78 |