| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $67.61 | $91.20 | |
Cigna
| Professional | $61.66 | $89.13 | $112.20 | |
Medica
| Facility | $56.23 | $67.61 | $107.15 | |
Medica
| Professional | $60.26 | $81.28 | $575.44 | |
United
| Facility | $75.86 | $75.86 | $75.86 | |
United
| Professional | $60.26 | $77.62 | $120.23 |