| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.43 | $51.39 | $72.38 | |
Cigna
| Professional | $50.89 | $50.89 | $50.89 | |
Medica
| Facility | $46.92 | $68.11 | $98.98 | |
Medica
| Professional | $59.51 | $81.48 | $383.65 | |
United
| Professional | $56.01 | $73.72 | $115.52 |