| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.60 | $93.66 | $125.59 | |
Cigna
| Professional | $57.66 | $57.66 | $57.66 | |
Medica
| Facility | $72.15 | $117.71 | $176.17 | |
Medica
| Professional | $55.40 | $59.93 | $859.86 | |
United
| Professional | $54.16 | $59.93 | $85.97 |