| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.62 | $64.65 | $81.77 | |
Cigna
| Professional | $62.12 | $82.60 | $110.78 | |
Medica
| Facility | $56.36 | $67.20 | $106.79 | |
Medica
| Professional | $56.44 | $82.84 | $575.00 | |
United
| Professional | $60.00 | $79.42 | $143.26 |