| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.70 | $137.19 | $154.16 | |
Cigna
| Professional | $84.51 | $84.51 | $84.51 | |
Medica
| Facility | $105.76 | $154.16 | $293.44 | |
Medica
| Professional | $81.20 | $87.83 | $1,792.13 | |
United
| Professional | $81.20 | $87.83 | $126.01 |