| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $1,096.48 | $1,698.24 | |
Aetna
| Professional | $316.23 | $316.23 | $446.68 | |
Cigna
| Professional | $52.48 | $52.48 | $52.48 | |
Medica
| Facility | $186.21 | $436.52 | $812.83 | |
United
| Facility | $676.08 | $676.08 | $676.08 |