| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.19 | $96.56 | $96.56 | |
Cigna
| Professional | $133.50 | $134.84 | $169.55 | |
Medica
| Facility | $73.19 | $74.58 | $115.28 | |
Medica
| Professional | $35.07 | $43.91 | $558.77 | |
United
| Professional | $34.38 | $35.07 | $70.13 |