| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.70 | $102.35 | $127.05 | |
Cigna
| Professional | $38.22 | $38.22 | $38.22 | |
Medica
| Facility | $70.11 | $127.05 | $152.46 | |
Medica
| Professional | $43.29 | $55.14 | $301.64 | |
United
| Professional | $42.50 | $54.60 | $100.88 |