| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.88 | $105.71 | $105.71 | |
Cigna
| Professional | $146.25 | $147.71 | $185.74 | |
Medica
| Facility | $99.88 | $99.88 | $126.20 | |
Medica
| Professional | $47.86 | $52.47 | $859.86 | |
United
| Professional | $46.92 | $47.86 | $95.71 |