| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.81 | $92.50 | $92.50 | |
Cigna
| Professional | $127.88 | $129.15 | $162.40 | |
Medica
| Facility | $85.81 | $85.81 | $110.43 | |
Medica
| Professional | $40.56 | $45.92 | $643.85 | |
United
| Professional | $38.10 | $40.56 | $82.23 |