| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.88 | $67.02 | $67.02 | |
Cigna
| Professional | $89.78 | $89.78 | $89.78 | |
Medica
| Facility | $35.90 | $47.88 | $80.86 | |
Medica
| Professional | $61.35 | $115.49 | $430.27 | |
United
| Professional | $59.92 | $83.23 | $142.01 |