| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $179.25 | $215.87 | $241.02 | |
Cigna
| Professional | $172.39 | $263.63 | $329.53 | |
Medica
| Facility | $179.25 | $215.87 | $1,141.64 | |
Medica
| Professional | $208.70 | $255.17 | $341.74 | |
United
| Professional | $203.90 | $255.17 | $319.70 |