| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.93 | $48.24 | $48.24 | |
Cigna
| Professional | $66.75 | $67.42 | $84.77 | |
Medica
| Facility | $40.93 | $40.93 | $57.60 | |
Medica
| Professional | $19.61 | $23.53 | $315.07 | |
United
| Professional | $19.23 | $19.61 | $39.22 |