| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.62 | $98.54 | $118.30 | |
Cigna
| Professional | $104.45 | $104.45 | $104.45 | |
Medica
| Facility | $97.06 | $111.01 | $195.09 | |
Medica
| Professional | $105.83 | $135.63 | $741.56 | |
United
| Professional | $103.34 | $131.47 | $173.00 |