| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $79.43 | $8,511.38 | |
Aetna
| Professional | $46.77 | $75.86 | $95.50 | |
Cigna
| Professional | $107.15 | $147.91 | $186.21 | |
Medica
| Facility | $57.54 | $91.20 | $138.04 | |
Medica
| Professional | $83.18 | $151.36 | $512.86 | |
United
| Professional | $81.28 | $144.54 | $208.93 |