| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $384.29 | $384.29 | $8,500.00 | |
Aetna
| Professional | $384.29 | $384.29 | $426.75 | |
Cigna
| Professional | $608.30 | $788.12 | $1,272.18 | |
Medica
| Facility | $384.29 | $553.86 | $1,152.86 | |
Medica
| Professional | $368.91 | $726.15 | $980.80 | |
United
| Professional | $432.17 | $726.15 | $980.80 |