| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.00 | $120.30 | $124.56 | |
Cigna
| Professional | $70.66 | $141.84 | $302.00 | |
Medica
| Facility | $90.51 | $137.16 | $192.21 | |
Medica
| Professional | $69.89 | $166.86 | $957.98 | |
United
| Professional | $69.06 | $97.18 | $207.10 |