| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $366.80 | $376.13 | $376.13 | |
Cigna
| Professional | $289.52 | $289.52 | $554.05 | |
Medica
| Facility | $251.76 | $362.37 | $1,918.67 | |
Medica
| Professional | $274.19 | $329.03 | $476.10 | |
United
| Professional | $274.19 | $329.03 | $496.37 |