| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.23 | $79.43 | $97.72 | |
Cigna
| Professional | $112.20 | $117.49 | $141.25 | |
Medica
| Facility | $72.44 | $93.33 | $134.90 | |
Medica
| Professional | $32.36 | $44.67 | $630.96 | |
United
| Professional | $32.36 | $38.02 | $89.13 |