| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $203.59 | $271.17 | $455.32 | |
Cigna
| Professional | $359.63 | $359.63 | $359.63 | |
Medica
| Facility | $267.19 | $298.29 | $680.99 | |
Medica
| Professional | $188.82 | $283.23 | $3,418.79 | |
United
| Professional | $188.82 | $245.91 | $505.80 |