| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $337.87 | $579.48 | $724.35 | |
Cigna
| Professional | $75.70 | $768.75 | $1,542.19 | |
Medica
| Facility | $75.52 | $423.58 | $4,948.92 | |
Medica
| Professional | $309.50 | $463.77 | $734.05 | |
United
| Professional | $341.79 | $463.77 | $734.05 |