| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.41 | $80.23 | $110.36 | |
Cigna
| Professional | $60.00 | $78.36 | $138.90 | |
Medica
| Facility | $73.87 | $88.94 | $181.96 | |
Medica
| Professional | $92.76 | $133.90 | $524.21 | |
United
| Professional | $91.71 | $112.17 | $203.26 |