| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.67 | $44.67 | $48.98 | |
Cigna
| Professional | $66.07 | $69.18 | $83.18 | |
Medica
| Facility | $38.90 | $46.77 | $74.13 | |
Medica
| Professional | $17.38 | $22.39 | $331.13 | |
United
| Professional | $17.38 | $20.42 | $44.67 |