| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $271.33 | $271.33 | $8,500.00 | |
Aetna
| Professional | $271.33 | $271.33 | $285.25 | |
Cigna
| Professional | $445.39 | $721.30 | $931.45 | |
Medica
| Facility | $271.33 | $271.33 | $813.99 | |
Medica
| Professional | $217.55 | $355.65 | $718.51 | |
United
| Professional | $235.68 | $471.35 | $718.51 |