| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.84 | $61.84 | $66.28 | |
Cigna
| Professional | $85.50 | $86.36 | $108.59 | |
Medica
| Facility | $61.84 | $66.28 | $79.70 | |
Medica
| Professional | $29.18 | $31.76 | $444.72 | |
United
| Professional | $27.41 | $29.41 | $63.51 |