| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $100.00 | $125.89 | |
Cigna
| Professional | $147.91 | $154.88 | $186.21 | |
Medica
| Facility | $97.72 | $100.00 | $169.82 | |
Medica
| Professional | $39.81 | $50.12 | $851.14 | |
United
| Professional | $39.81 | $46.77 | $95.50 |