| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $344.66 | $344.66 | $8,500.00 | |
Aetna
| Professional | $337.01 | $344.66 | $1,253.14 | |
Cigna
| Professional | $457.95 | $1,069.08 | $1,618.35 | |
Medica
| Facility | $292.95 | $368.71 | $681.00 | |
Medica
| Professional | $255.44 | $416.08 | $1,295.40 | |
United
| Facility | $681.00 | $681.00 | $681.00 | |
United
| Professional | $282.93 | $420.42 | $1,052.90 |