| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.22 | $622.19 | $894.15 | |
Cigna
| Professional | $630.72 | $630.72 | $630.72 | |
Medica
| Facility | $89.79 | $461.15 | $935.29 | |
Medica
| Professional | $60.01 | $155.31 | $4,977.89 | |
United
| Professional | $58.92 | $121.63 | $436.62 |