| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.42 | $53.43 | $53.43 | |
Cigna
| Professional | $73.88 | $74.61 | $93.82 | |
Medica
| Facility | $45.42 | $45.42 | $63.80 | |
Medica
| Professional | $21.76 | $26.11 | $347.90 | |
United
| Professional | $21.34 | $21.76 | $63.80 |