| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.59 | $47.58 | $47.58 | |
Cigna
| Professional | $66.00 | $66.66 | $83.82 | |
Medica
| Facility | $46.59 | $46.59 | $56.81 | |
Medica
| Professional | $21.60 | $23.62 | $332.40 | |
United
| Professional | $20.29 | $22.32 | $74.98 |