| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.36 | $126.96 | $147.34 | |
Cigna
| Professional | $80.93 | $80.93 | $80.93 | |
Medica
| Facility | $113.67 | $126.96 | $193.85 | |
Medica
| Professional | $56.08 | $84.11 | $170.67 | |
United
| Professional | $56.08 | $76.02 | $120.67 |