| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.85 | $29.85 | $192.00 | |
Cigna
| Professional | $33.75 | $34.09 | $42.86 | |
Medica
| Facility | $29.85 | $144.00 | $192.00 | |
Medica
| Professional | $27.30 | $51.39 | $188.42 | |
United
| Professional | $27.30 | $34.29 | $62.90 |