| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $438.00 | $774.00 | $2,100.00 | |
Aetna
| Professional | $218.65 | $789.52 | $1,188.21 | |
Cigna
| Facility | $112.51 | $112.51 | $112.51 | |
Medica
| Facility | $728.60 | $907.95 | $2,894.15 | |
Medica
| Professional | $336.99 | $426.38 | $1,952.60 | |
United
| Professional | $324.81 | $406.01 | $609.02 |