| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.07 | $79.43 | $107.15 | |
Cigna
| Professional | $60.26 | $83.18 | $165.96 | |
Medica
| Facility | $74.13 | $89.13 | $181.97 | |
Medica
| Professional | $83.18 | $134.90 | $524.81 | |
United
| Professional | $83.18 | $107.15 | $165.96 |