| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.28 | $88.04 | $88.04 | |
Cigna
| Professional | $121.88 | $123.09 | $154.78 | |
Medica
| Facility | $83.28 | $83.28 | $105.11 | |
Medica
| Professional | $33.92 | $41.88 | $538.41 | |
United
| Professional | $31.87 | $39.90 | $79.80 |