| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.50 | $133.69 | $164.28 | |
Cigna
| Professional | $128.26 | $128.26 | $134.75 | |
Medica
| Facility | $68.13 | $144.49 | $267.39 | |
Medica
| Professional | $127.65 | $192.15 | $935.43 | |
United
| Professional | $113.97 | $173.44 | $304.37 |