| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.90 | $65.05 | $65.05 | |
Cigna
| Professional | $90.00 | $90.90 | $114.30 | |
Medica
| Facility | $50.90 | $50.90 | $77.66 | |
Medica
| Professional | $24.39 | $30.54 | $391.78 | |
United
| Professional | $23.91 | $24.39 | $48.77 |