| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.52 | $186.52 | $269.27 | |
Cigna
| Professional | $225.73 | $225.73 | $225.73 | |
Medica
| Facility | $269.27 | $277.36 | $1,646.70 | |
Medica
| Professional | $251.76 | $254.51 | $390.00 | |
United
| Professional | $251.76 | $254.51 | $390.00 |