| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $201.54 | $243.38 | $243.38 | |
Cigna
| Professional | $336.75 | $340.12 | $427.67 | |
Medica
| Facility | $201.54 | $201.54 | $290.19 | |
Medica
| Professional | $90.60 | $115.76 | $1,394.74 | |
United
| Professional | $85.13 | $96.57 | $383.55 |