| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $157.83 | $211.99 | $211.99 | |
Cigna
| Professional | $293.25 | $296.18 | $372.43 | |
Medica
| Facility | $157.83 | $157.83 | $253.09 | |
Medica
| Professional | $75.62 | $94.70 | $1,252.80 | |
United
| Professional | $74.15 | $78.92 | $151.24 |