| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.69 | $41.69 | $42.66 | |
Cigna
| Facility | $165.96 | $165.96 | $190.55 | |
Medica
| Facility | $42.66 | $54.95 | $95.50 | |
Medica
| Professional | $50.12 | $57.54 | $60.26 | |
United
| Facility | $75.86 | $75.86 | $75.86 | |
United
| Professional | $50.12 | $57.54 | $60.26 |