| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.68 | $72.59 | $72.59 | |
Cigna
| Professional | $100.50 | $101.51 | $127.64 | |
Medica
| Facility | $62.68 | $62.68 | $86.66 | |
Medica
| Professional | $30.04 | $36.04 | $449.23 | |
United
| Professional | $29.45 | $30.04 | $114.39 |