| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.74 | $46.74 | $52.13 | |
Cigna
| Professional | $64.88 | $65.52 | $82.39 | |
Medica
| Facility | $46.74 | $52.13 | $62.47 | |
Medica
| Professional | $19.55 | $24.98 | $312.20 | |
United
| Professional | $18.37 | $19.55 | $49.95 |