| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $188.00 | $210.43 | $210.43 | |
Cigna
| Professional | $291.38 | $294.29 | $370.05 | |
Medica
| Facility | $188.00 | $207.87 | $251.23 | |
Medica
| Professional | $90.08 | $104.45 | $1,492.23 | |
United
| Professional | $88.32 | $90.08 | $180.15 |