| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $196.29 | $196.29 | $283.06 | |
Cigna
| Professional | $237.28 | $237.28 | $237.28 | |
Medica
| Facility | $283.06 | $291.55 | $2,607.27 | |
Medica
| Professional | $398.63 | $402.97 | $440.00 | |
United
| Professional | $398.63 | $402.97 | $440.00 |