| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.34 | $39.34 | $42.01 | |
Cigna
| Professional | $54.38 | $54.92 | $69.06 | |
Medica
| Facility | $39.34 | $42.01 | $50.52 | |
Medica
| Professional | $16.97 | $20.13 | $261.22 | |
United
| Professional | $15.94 | $18.71 | $62.00 |