| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.40 | $85.40 | $97.43 | |
Cigna
| Professional | $118.13 | $119.31 | $150.02 | |
Medica
| Facility | $85.40 | $97.43 | $117.18 | |
Medica
| Professional | $40.61 | $46.68 | $618.38 | |
United
| Professional | $39.26 | $42.39 | $114.71 |