| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.35 | $61.35 | $63.88 | |
Cigna
| Professional | $84.75 | $85.60 | $107.63 | |
Medica
| Facility | $61.35 | $63.88 | $76.81 | |
Medica
| Professional | $28.51 | $30.61 | $413.57 | |
United
| Professional | $26.79 | $28.51 | $61.22 |