| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.04 | $234.04 | $8,500.00 | |
Aetna
| Professional | $231.85 | $234.04 | $319.58 | |
Cigna
| Professional | $305.12 | $522.19 | $748.08 | |
Medica
| Facility | $212.47 | $304.25 | $681.00 | |
Medica
| Professional | $227.64 | $405.79 | $892.36 | |
United
| Facility | $681.00 | $681.00 | $681.00 | |
United
| Professional | $212.88 | $354.11 | $568.10 |