| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $82.42 | $95.55 | $127.03 | |
Cigna
| Professional | $57.66 | $57.66 | $57.66 | |
Medica
| Facility | $85.56 | $95.55 | $145.91 | |
Medica
| Professional | $39.95 | $60.49 | $128.46 | |
United
| Professional | $39.95 | $55.63 | $85.97 |