| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $906.54 | $906.54 | $906.54 | |
Cigna
| Professional | $481.50 | $510.39 | $611.51 | |
Medica
| Facility | $906.54 | $906.54 | $1,813.08 | |
Medica
| Professional | $163.29 | $224.52 | $336.05 | |
United
| Professional | $155.13 | $224.52 | $336.05 |