| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.83 | $53.67 | $53.67 | |
Cigna
| Professional | $74.25 | $74.98 | $94.30 | |
Medica
| Facility | $48.83 | $48.83 | $64.08 | |
Medica
| Professional | $23.40 | $26.64 | $375.79 | |
United
| Professional | $22.94 | $23.40 | $46.79 |