| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $170.48 | $177.86 | $177.86 | |
Cigna
| Professional | $246.00 | $248.46 | $312.42 | |
Medica
| Facility | $170.48 | $170.48 | $212.34 | |
Medica
| Professional | $76.11 | $88.28 | $1,182.56 | |
United
| Professional | $71.51 | $81.68 | $280.29 |