| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.09 | $83.17 | $104.74 | |
Cigna
| Professional | $85.69 | $110.87 | $158.37 | |
Medica
| Facility | $75.63 | $108.32 | $169.92 | |
Medica
| Professional | $78.53 | $104.38 | $931.22 | |
United
| Professional | $75.03 | $97.01 | $157.54 |