| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.54 | $177.83 | $213.80 | |
Cigna
| Professional | $338.84 | $354.81 | $426.58 | |
Medica
| Facility | $190.55 | $199.53 | $354.81 | |
Medica
| Professional | $72.44 | $95.50 | $1,380.38 | |
United
| Professional | $85.11 | $85.11 | $194.98 |