| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $242.24 | $298.95 | $298.95 | |
Cigna
| Professional | $413.63 | $417.76 | $525.29 | |
Medica
| Facility | $242.24 | $242.24 | $356.93 | |
Medica
| Professional | $111.29 | $139.28 | $1,689.04 | |
United
| Professional | $104.57 | $145.34 | $442.59 |