| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $45.71 | $60.26 | |
Cigna
| Professional | $3.24 | $3.24 | $3.24 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $45.71 | $45.71 | $45.71 | |
United
| Facility | $331.13 | $331.13 | $549.54 |