| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.81 | $354.81 | $616.60 | |
Cigna
| Professional | $102.33 | $112.20 | $128.82 | |
Medica
| Facility | $35.48 | $35.48 | $602.56 | |
Medica
| Professional | $46.77 | $77.62 | $3,890.45 | |
United
| Professional | $50.12 | $89.13 | $107.15 |