| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.91 | $69.91 | $85.04 | |
Cigna
| Professional | $96.75 | $97.72 | $122.87 | |
Medica
| Facility | $69.91 | $85.04 | $102.28 | |
Medica
| Professional | $32.81 | $40.75 | $509.35 | |
United
| Professional | $30.83 | $33.25 | $81.48 |