| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.92 | $40.74 | $48.98 | |
Cigna
| Professional | $46.77 | $58.88 | $60.26 | |
Medica
| Facility | $35.48 | $42.66 | $66.07 | |
Medica
| Professional | $42.66 | $66.07 | $269.15 | |
United
| Professional | $40.74 | $56.23 | $93.33 |