| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.11 | $66.28 | $77.06 | |
Cigna
| Professional | $42.25 | $42.25 | $42.25 | |
Medica
| Facility | $59.34 | $66.28 | $101.21 | |
Medica
| Professional | $29.28 | $43.91 | $89.10 | |
United
| Professional | $29.28 | $39.69 | $63.00 |