| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.46 | $91.49 | $91.49 | |
Cigna
| Professional | $126.75 | $128.02 | $160.97 | |
Medica
| Facility | $85.46 | $85.46 | $109.23 | |
Medica
| Professional | $40.95 | $45.42 | $553.72 | |
United
| Professional | $40.15 | $43.52 | $135.44 |