| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.00 | $88.74 | $88.74 | |
Cigna
| Professional | $123.00 | $124.23 | $156.21 | |
Medica
| Facility | $88.00 | $88.00 | $105.94 | |
Medica
| Professional | $36.90 | $44.05 | $585.98 | |
United
| Professional | $34.68 | $36.90 | $84.33 |