| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $170.23 | $170.23 | $245.67 | |
Cigna
| Professional | $205.93 | $205.93 | $205.93 | |
Medica
| Facility | $245.67 | $253.04 | $2,195.58 | |
Medica
| Professional | $115.00 | $335.69 | $343.33 | |
United
| Professional | $115.00 | $335.69 | $343.33 |