| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.73 | $76.73 | $78.41 | |
Cigna
| Professional | $106.13 | $107.19 | $134.78 | |
Medica
| Facility | $76.73 | $78.41 | $94.30 | |
Medica
| Professional | $36.50 | $38.09 | $510.29 | |
United
| Professional | $35.58 | $37.57 | $75.13 |