| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.78 | $88.25 | $88.25 | |
Cigna
| Professional | $122.25 | $123.47 | $155.26 | |
Medica
| Facility | $76.78 | $76.78 | $105.36 | |
Medica
| Professional | $36.79 | $43.80 | $601.62 | |
United
| Professional | $36.07 | $36.79 | $73.56 |