| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.69 | $90.90 | $94.07 | |
Cigna
| Professional | $50.89 | $50.89 | $50.89 | |
Medica
| Facility | $77.27 | $90.90 | $138.77 | |
Medica
| Professional | $35.26 | $57.53 | $122.19 | |
United
| Professional | $35.26 | $52.89 | $75.88 |