| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.01 | $91.49 | $94.68 | |
Cigna
| Professional | $51.62 | $51.62 | $51.62 | |
Medica
| Facility | $81.92 | $91.49 | $139.71 | |
Medica
| Professional | $35.77 | $57.92 | $122.99 | |
United
| Professional | $35.77 | $49.81 | $76.98 |