| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $294.85 | $302.33 | $302.33 | |
Cigna
| Professional | $232.88 | $232.88 | $445.31 | |
Medica
| Facility | $202.36 | $291.27 | $1,541.69 | |
Medica
| Professional | $220.33 | $264.39 | $382.58 | |
United
| Professional | $220.33 | $249.70 | $350.02 |