| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $79.43 | $79.43 | |
Cigna
| Professional | $39.81 | $41.69 | $50.12 | |
Medica
| Facility | $75.86 | $75.86 | $131.83 | |
Medica
| Professional | $120.23 | $120.23 | $120.23 | |
United
| Professional | $19.95 | $60.26 | $125.89 |