| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.24 | $132.58 | $147.15 | |
Cigna
| Professional | $84.51 | $84.51 | $84.51 | |
Medica
| Facility | $118.69 | $132.58 | $202.44 | |
Medica
| Professional | $58.56 | $87.83 | $178.23 | |
United
| Professional | $58.56 | $79.39 | $126.01 |