| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $2,398.83 | $6,606.93 | |
Aetna
| Professional | $74.13 | $89.13 | $158.49 | |
Cigna
| Professional | $93.33 | $123.03 | $144.54 | |
Medica
| Facility | $89.13 | $128.82 | $1,862.09 | |
Medica
| Professional | $85.11 | $107.15 | $758.58 | |
United
| Facility | $138.04 | $707.95 | $1,659.59 | |
United
| Professional | $75.86 | $93.33 | $128.82 |