| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.09 | $86.29 | $96.01 | |
Cigna
| Professional | $48.97 | $48.97 | $48.97 | |
Medica
| Facility | $77.26 | $86.29 | $131.78 | |
Medica
| Professional | $33.93 | $54.62 | $116.01 | |
United
| Professional | $33.93 | $50.90 | $73.02 |