| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $438.00 | $774.00 | $2,100.00 | |
Aetna
| Professional | $174.08 | $942.65 | $1,188.21 | |
Cigna
| Facility | $89.88 | $89.88 | $89.88 | |
Medica
| Facility | $789.52 | $1,020.06 | $1,293.79 | |
Medica
| Professional | $800.05 | $945.88 | $1,555.83 | |
United
| Professional | $800.05 | $945.88 | $1,425.83 |