| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $150.28 | $187.00 | $187.00 | |
Cigna
| Professional | $258.75 | $261.33 | $328.61 | |
Medica
| Facility | $150.28 | $150.28 | $223.26 | |
Medica
| Professional | $72.00 | $88.94 | $1,093.50 | |
United
| Professional | $70.59 | $72.00 | $223.26 |