| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $140.19 | $171.78 | $171.78 | |
Cigna
| Professional | $237.75 | $240.13 | $301.94 | |
Medica
| Facility | $140.19 | $142.86 | $205.09 | |
Medica
| Professional | $67.17 | $81.70 | $1,079.04 | |
United
| Professional | $65.86 | $67.17 | $205.09 |