| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.43 | $96.84 | $96.84 | |
Cigna
| Professional | $133.88 | $135.21 | $170.02 | |
Medica
| Facility | $89.43 | $91.14 | $115.61 | |
Medica
| Professional | $42.85 | $48.07 | $784.22 | |
United
| Professional | $42.01 | $48.07 | $152.61 |