| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $176.35 | $178.11 | $178.11 | |
Cigna
| Professional | $246.38 | $248.84 | $312.89 | |
Medica
| Facility | $176.35 | $178.11 | $212.64 | |
Medica
| Professional | $84.49 | $88.41 | $1,614.29 | |
United
| Professional | $82.84 | $84.49 | $280.68 |