| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.14 | $87.63 | $99.98 | |
Cigna
| Professional | $46.19 | $46.19 | $46.19 | |
Medica
| Facility | $85.72 | $96.61 | $147.51 | |
Medica
| Professional | $32.00 | $59.68 | $129.88 | |
United
| Professional | $32.00 | $48.01 | $68.87 |