| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.45 | $75.41 | $90.55 | |
Cigna
| Professional | $79.45 | $79.45 | $79.45 | |
Medica
| Facility | $74.28 | $84.91 | $148.80 | |
Medica
| Professional | $81.29 | $104.18 | $567.27 | |
United
| Professional | $79.38 | $100.42 | $132.65 |