| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $794.33 | $1,621.81 | |
Aetna
| Professional | $316.23 | $316.23 | $478.63 | |
Cigna
| Facility | $363.08 | $363.08 | $363.08 | |
Medica
| Facility | $223.87 | $331.13 | $537.03 | |
United
| Facility | $154.88 | $524.81 | $851.14 |