| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.36 | $115.81 | $145.21 | |
Cigna
| Professional | $71.33 | $71.33 | $71.33 | |
Medica
| Facility | $74.78 | $123.61 | $207.50 | |
Medica
| Professional | $68.54 | $74.14 | $951.02 | |
United
| Professional | $67.00 | $74.14 | $111.67 |