| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.06 | $70.06 | $73.63 | |
Cigna
| Professional | $97.13 | $98.10 | $123.35 | |
Medica
| Facility | $70.06 | $73.63 | $88.56 | |
Medica
| Professional | $33.33 | $35.28 | $500.06 | |
United
| Professional | $31.50 | $34.78 | $83.65 |