| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.48 | $107.15 | $123.03 | |
Cigna
| Professional | $61.66 | $61.66 | $61.66 | |
Medica
| Facility | $97.72 | $109.65 | $169.82 | |
Medica
| Professional | $42.66 | $70.79 | $147.91 | |
United
| Facility | $66.07 | $66.07 | $66.07 | |
United
| Professional | $42.66 | $64.57 | $93.33 |