| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.29 | $89.89 | $112.53 | |
Cigna
| Professional | $45.92 | $45.92 | $45.92 | |
Medica
| Facility | $75.00 | $112.53 | $138.41 | |
Medica
| Professional | $52.01 | $66.16 | $362.37 | |
United
| Professional | $50.40 | $66.00 | $121.20 |