| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.89 | $158.49 | $190.55 | |
Cigna
| Professional | $251.19 | $269.15 | $323.59 | |
Medica
| Facility | $158.49 | $165.96 | $275.42 | |
Medica
| Professional | $63.10 | $79.43 | $1,230.27 | |
United
| Professional | $74.13 | $74.13 | $151.36 |