| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.39 | $101.86 | $110.84 | |
Cigna
| Professional | $83.40 | $253.06 | $253.06 | |
Medica
| Facility | $60.93 | $84.77 | $109.29 | |
Medica
| Professional | $100.04 | $139.66 | $659.14 | |
United
| Professional | $90.53 | $119.28 | $215.60 |