| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.23 | $76.27 | $76.27 | |
Cigna
| Professional | $105.38 | $106.43 | $133.83 | |
Medica
| Facility | $74.23 | $74.23 | $91.05 | |
Medica
| Professional | $35.54 | $37.86 | $466.39 | |
United
| Professional | $33.39 | $35.58 | $71.15 |