| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,163.00 | $4,500.00 | $12,600.00 | |
Aetna
| Professional | $40.00 | $40.00 | $40.00 | |
Cigna
| Professional | $24.00 | $24.00 | $24.00 | |
Medica
| Facility | $40.00 | $1,094.00 | $5,991.35 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |