| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.65 | $110.73 | $114.60 | |
Cigna
| Professional | $62.26 | $62.26 | $62.26 | |
Medica
| Facility | $99.15 | $110.73 | $169.10 | |
Medica
| Professional | $43.14 | $70.09 | $148.87 | |
United
| Professional | $43.14 | $60.27 | $92.83 |