| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $182.43 | $235.98 | $294.97 | |
Cigna
| Professional | $354.68 | $354.68 | $614.05 | |
Medica
| Facility | $182.43 | $309.72 | $2,283.28 | |
Medica
| Professional | $197.46 | $305.45 | $453.24 | |
United
| Professional | $232.78 | $279.33 | $453.24 |