| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $301.30 | $362.84 | $405.11 | |
Cigna
| Professional | $289.52 | $443.25 | $554.05 | |
Medica
| Facility | $301.30 | $362.84 | $1,918.67 | |
Medica
| Professional | $310.75 | $374.44 | $574.10 | |
United
| Professional | $310.75 | $376.56 | $537.07 |