| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.48 | $66.45 | $66.45 | |
Cigna
| Professional | $91.88 | $92.79 | $116.68 | |
Medica
| Facility | $49.48 | $49.48 | $79.13 | |
Medica
| Professional | $23.71 | $29.69 | $368.02 | |
United
| Professional | $23.24 | $23.71 | $47.41 |