| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.69 | $363.08 | $602.56 | |
Cigna
| Professional | $102.33 | $102.33 | $112.20 | |
Medica
| Facility | $42.66 | $123.03 | $537.03 | |
Medica
| Professional | $44.67 | $54.95 | $3,890.45 | |
United
| Professional | $42.66 | $51.29 | $87.10 |