| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.23 | $85.11 | $100.00 | |
Cigna
| Professional | $120.23 | $128.82 | $154.88 | |
Medica
| Facility | $87.10 | $87.10 | $147.91 | |
Medica
| Professional | $34.67 | $43.65 | $602.56 | |
United
| Professional | $34.67 | $40.74 | $83.18 |