| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.56 | $40.56 | $47.89 | |
Cigna
| Professional | $56.25 | $56.81 | $71.44 | |
Medica
| Facility | $40.56 | $47.89 | $57.61 | |
Medica
| Professional | $18.80 | $22.95 | $289.33 | |
United
| Professional | $17.66 | $18.80 | $45.89 |