| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,547.00 | $3,362.00 | $8,000.00 | |
Aetna
| Professional | $29.50 | $29.50 | $29.50 | |
Cigna
| Professional | $13.20 | $13.20 | $13.20 | |
Medica
| Facility | $29.50 | $82.90 | $1,300.00 | |
United
| Facility | $245.00 | $875.00 | $1,351.00 |