| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $2,876.00 | $7,500.00 | |
Aetna
| Professional | $135.04 | $166.46 | $180.97 | |
Cigna
| Professional | $169.93 | $204.49 | $258.56 | |
Medica
| Facility | $155.00 | $224.72 | $1,676.40 | |
Medica
| Professional | $159.21 | $196.68 | $1,516.65 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 | |
United
| Professional | $149.85 | $185.24 | $271.49 |