| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.78 | $97.15 | $130.16 | |
Cigna
| Professional | $61.92 | $61.92 | $61.92 | |
Medica
| Facility | $86.97 | $97.15 | $148.32 | |
Medica
| Professional | $42.90 | $64.36 | $130.60 | |
United
| Professional | $42.90 | $58.16 | $92.33 |