| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.48 | $87.60 | $87.60 | |
Cigna
| Professional | $121.13 | $122.34 | $153.83 | |
Medica
| Facility | $86.48 | $87.60 | $104.58 | |
Medica
| Professional | $41.44 | $43.48 | $597.30 | |
United
| Professional | $40.63 | $43.48 | $117.65 |