| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.62 | $139.56 | $152.21 | |
Cigna
| Professional | $80.93 | $80.93 | $80.93 | |
Medica
| Facility | $75.95 | $141.71 | $224.34 | |
Medica
| Professional | $77.77 | $84.11 | $1,079.04 | |
United
| Professional | $77.77 | $84.11 | $120.67 |