| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.84 | $149.84 | $18,621.90 | |
Aetna
| Professional | $138.74 | $149.84 | $149.84 | |
Cigna
| Facility | $130.88 | $130.88 | $138.74 | |
Cigna
| Professional | $138.74 | $138.74 | $138.74 | |
Medica
| Facility | $140.56 | $154.41 | $282.63 | |
Medica
| Professional | $131.04 | $136.18 | $201.17 | |
United
| Professional | $133.33 | $138.74 | $152.99 |