| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.18 | $831.76 | $831.76 | |
Cigna
| Professional | $181.97 | $190.55 | $229.09 | |
Medica
| Facility | $165.96 | $1,047.13 | $1,584.89 | |
Medica
| Professional | $75.86 | $75.86 | $75.86 |