| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.80 | $88.80 | $90.92 | |
Cigna
| Professional | $123.00 | $124.23 | $156.21 | |
Medica
| Facility | $88.80 | $90.92 | $109.35 | |
Medica
| Professional | $42.24 | $44.08 | $908.69 | |
United
| Professional | $41.41 | $43.56 | $87.12 |