| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.29 | $104.77 | $150.54 | |
Cigna
| Professional | $67.76 | $67.76 | $67.76 | |
Medica
| Facility | $78.81 | $128.61 | $193.78 | |
Medica
| Professional | $65.11 | $70.42 | $851.58 | |
United
| Professional | $65.11 | $70.42 | $101.04 |