| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.70 | $77.39 | $92.03 | |
Cigna
| Professional | $49.33 | $49.33 | $49.33 | |
Medica
| Facility | $69.29 | $77.39 | $118.16 | |
Medica
| Professional | $34.18 | $51.28 | $104.04 | |
United
| Professional | $34.18 | $46.34 | $73.56 |