| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.20 | $91.43 | $106.31 | |
Cigna
| Professional | $58.28 | $58.28 | $58.28 | |
Medica
| Facility | $81.84 | $91.43 | $139.60 | |
Medica
| Professional | $40.38 | $60.57 | $122.91 | |
United
| Professional | $40.38 | $54.74 | $86.89 |