| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.88 | $233.06 | $265.92 | |
Cigna
| Professional | $128.49 | $128.49 | $128.49 | |
Medica
| Facility | $228.00 | $256.95 | $392.33 | |
Medica
| Professional | $89.03 | $162.63 | $345.43 | |
United
| Professional | $89.03 | $133.55 | $191.59 |