| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.25 | $80.84 | $92.26 | |
Cigna
| Professional | $42.61 | $42.61 | $42.61 | |
Medica
| Facility | $79.09 | $89.15 | $136.13 | |
Medica
| Professional | $29.53 | $56.42 | $119.84 | |
United
| Professional | $29.53 | $44.29 | $63.55 |