| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.22 | $39.22 | $41.66 | |
Cigna
| Professional | $46.13 | $46.59 | $58.58 | |
Medica
| Facility | $30.06 | $35.40 | $59.82 | |
Medica
| Professional | $37.54 | $70.66 | $250.51 | |
United
| Professional | $33.96 | $57.41 | $88.32 |