| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.59 | $80.59 | $92.56 | |
Cigna
| Professional | $111.38 | $112.49 | $141.44 | |
Medica
| Facility | $80.59 | $92.56 | $111.32 | |
Medica
| Professional | $38.34 | $44.35 | $635.09 | |
United
| Professional | $37.59 | $40.01 | $88.69 |