| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.69 | $47.86 | $61.66 | |
Cigna
| Professional | $32.36 | $50.12 | $102.33 | |
Medica
| Facility | $38.90 | $56.23 | $223.87 | |
Medica
| Professional | $41.69 | $46.77 | $67.61 | |
United
| Professional | $41.69 | $50.12 | $67.61 |