| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.12 | $72.36 | $110.98 | |
Cigna
| Professional | $54.62 | $93.91 | $114.32 | |
Medica
| Facility | $61.51 | $75.98 | $115.73 | |
Medica
| Professional | $67.50 | $82.29 | $213.79 | |
United
| Professional | $66.31 | $79.58 | $100.49 |