| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.50 | $52.67 | $52.67 | |
Cigna
| Professional | $29.52 | $29.52 | $29.52 | |
Medica
| Facility | $50.00 | $57.94 | $98.00 | |
Medica
| Professional | $44.33 | $52.51 | $92.12 | |
United
| Professional | $43.50 | $51.41 | $94.52 |