| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $794.33 | $1,621.81 | |
Aetna
| Professional | $251.19 | $316.23 | $478.63 | |
Cigna
| Facility | $173.78 | $173.78 | $173.78 | |
Medica
| Facility | $223.87 | $316.23 | $446.68 | |
United
| Facility | $77.62 | $263.03 | $426.58 |