| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.22 | $105.22 | $337.57 | |
Cigna
| Professional | $69.00 | $69.00 | $86.25 | |
Medica
| Facility | $117.55 | $123.56 | $337.57 | |
Medica
| Professional | $121.62 | $149.09 | $778.48 | |
United
| Professional | $145.94 | $149.09 | $188.51 |