| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.71 | $107.53 | $152.28 | |
Cigna
| Professional | $67.76 | $67.76 | $67.76 | |
Medica
| Facility | $91.40 | $107.53 | $164.17 | |
Medica
| Professional | $46.95 | $70.42 | $144.55 | |
United
| Professional | $46.95 | $64.38 | $101.04 |