| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.83 | $76.83 | $92.20 | |
Cigna
| Professional | $84.75 | $85.60 | $107.63 | |
Medica
| Facility | $78.68 | $92.57 | $133.81 | |
Medica
| Professional | $92.57 | $92.57 | $103.68 | |
United
| Professional | $92.57 | $92.57 | $95.62 |