| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $547.48 | $547.48 | $547.73 | |
Cigna
| Professional | $757.88 | $765.45 | $962.50 | |
Medica
| Facility | $547.48 | $547.73 | $658.74 | |
Medica
| Professional | $244.32 | $271.75 | $3,280.53 | |
United
| Professional | $229.56 | $244.32 | $524.87 |