| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.26 | $47.44 | $55.86 | |
Cigna
| Professional | $49.10 | $49.10 | $49.10 | |
Medica
| Facility | $41.22 | $63.92 | $101.76 | |
Medica
| Professional | $49.39 | $69.17 | $349.47 | |
United
| Professional | $48.39 | $63.91 | $99.72 |