| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.84 | $82.44 | $82.44 | |
Cigna
| Professional | $114.00 | $115.14 | $144.78 | |
Medica
| Facility | $81.84 | $82.44 | $98.42 | |
Medica
| Professional | $39.21 | $40.92 | $604.49 | |
United
| Professional | $38.45 | $39.21 | $98.42 |