| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.72 | $81.72 | $102.51 | |
Cigna
| Professional | $113.25 | $114.38 | $143.83 | |
Medica
| Facility | $81.72 | $102.51 | $123.25 | |
Medica
| Professional | $38.44 | $49.12 | $613.92 | |
United
| Professional | $36.11 | $38.44 | $98.23 |