| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.51 | $78.69 | $101.44 | |
Cigna
| Professional | $21.97 | $112.03 | $112.03 | |
Medica
| Facility | $66.89 | $78.69 | $100.72 | |
Medica
| Professional | $46.74 | $99.48 | $442.64 | |
United
| Professional | $48.07 | $97.72 | $159.60 |