| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $38.02 | $45.71 | |
Cigna
| Professional | $45.71 | $57.54 | $58.88 | |
Medica
| Facility | $30.20 | $38.02 | $61.66 | |
Medica
| Professional | $37.15 | $61.66 | $251.19 | |
United
| Professional | $33.88 | $51.29 | $83.18 |