| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.97 | $41.97 | $50.32 | |
Cigna
| Professional | $47.25 | $47.72 | $60.01 | |
Medica
| Facility | $37.74 | $45.03 | $65.42 | |
Medica
| Professional | $42.36 | $80.02 | $269.37 | |
United
| Professional | $40.81 | $61.19 | $100.26 |