| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $430.09 | $430.09 | $430.09 | |
Cigna
| Professional | $475.13 | $475.13 | $593.91 | |
Medica
| Facility | $518.17 | $518.17 | $518.17 | |
Medica
| Professional | $518.17 | $518.17 | $562.77 | |
United
| Professional | $440.45 | $518.17 | $562.77 |