| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.25 | $74.25 | $98.27 | |
Cigna
| Professional | $102.75 | $103.78 | $130.49 | |
Medica
| Facility | $74.25 | $98.27 | $118.15 | |
Medica
| Professional | $35.31 | $47.09 | $588.59 | |
United
| Professional | $34.61 | $35.31 | $94.17 |