| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.00 | $101.86 | $110.84 | |
Cigna
| Professional | $10.25 | $237.77 | $237.77 | |
Medica
| Facility | $60.93 | $84.77 | $109.29 | |
Medica
| Professional | $99.28 | $136.41 | $659.14 | |
United
| Professional | $92.26 | $127.73 | $223.77 |