| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.47 | $74.31 | $74.31 | |
Cigna
| Professional | $102.75 | $103.78 | $130.49 | |
Medica
| Facility | $63.47 | $63.47 | $88.72 | |
Medica
| Professional | $30.41 | $36.49 | $474.71 | |
United
| Professional | $29.42 | $30.41 | $60.82 |