| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.81 | $169.99 | $211.75 | |
Cigna
| Professional | $68.73 | $68.73 | $68.73 | |
Medica
| Facility | $126.09 | $211.75 | $254.10 | |
Medica
| Professional | $77.86 | $99.25 | $542.51 | |
United
| Professional | $75.20 | $98.70 | $189.22 |