| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.26 | $77.65 | $77.65 | |
Cigna
| Professional | $107.63 | $108.70 | $136.68 | |
Medica
| Facility | $77.26 | $77.26 | $92.51 | |
Medica
| Professional | $28.97 | $37.02 | $462.69 | |
United
| Professional | $27.22 | $34.76 | $104.29 |