| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $218.23 | $223.78 | $223.78 | |
Cigna
| Professional | $172.39 | $172.39 | $329.53 | |
Medica
| Facility | $149.78 | $215.59 | $1,141.64 | |
Medica
| Professional | $163.22 | $195.86 | $283.41 | |
United
| Professional | $163.22 | $195.86 | $295.45 |