| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.65 | $83.71 | $83.71 | |
Cigna
| Professional | $115.88 | $117.03 | $147.16 | |
Medica
| Facility | $81.65 | $81.65 | $99.93 | |
Medica
| Professional | $39.11 | $41.55 | $537.12 | |
United
| Professional | $37.29 | $39.11 | $48.99 |