| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $198.66 | $198.66 | $8,500.00 | |
Aetna
| Professional | $198.66 | $282.12 | $292.20 | |
Cigna
| Professional | $686.18 | $686.18 | $686.18 | |
Medica
| Facility | $178.97 | $337.72 | $595.98 | |
Medica
| Professional | $309.64 | $546.00 | $1,182.64 | |
United
| Facility | $681.00 | $681.00 | $681.00 | |
United
| Professional | $266.58 | $417.05 | $690.49 |