| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.10 | $107.15 | $123.03 | |
Cigna
| Professional | $151.36 | $162.18 | $190.55 | |
Medica
| Facility | $97.72 | $123.03 | $181.97 | |
Medica
| Professional | $42.66 | $58.88 | $1,023.29 | |
United
| Professional | $50.12 | $50.12 | $117.49 |